THE INFLUENCE OF THE OSTEOSYNTHESIS METHODS ON THERAPEUTIC MANAGEMENT OF THE PATIENTS WITH TIBIAL PLATEAU FRACTURES
Aim: The aim of study was to assess the influence of the osteosynthesis methods on the therapeutic management of the patients with tibial plateau fractures. Material and methods: The retrospective study was conducted on 63 patients (mean age 59.5 years; 37 males, 26 females) with tibial plateau fractures treated in Orthopedic Clinic - Traumatology Clinic Aschaffenburg-Alzenau (Germany) in the period 2015-2016. The mean values of pre-operatory interval, hospitalization time, surgical procedure duration, ablation time were calculated for each osteosynthesis method. Mann-Whitney tests were used for statistical comparisons between the implants systems in relation to the assessed parameters. Statistical significance was set up for p<0.05. Results: The pre-operative time was the highest for patients treated with rotating hinge (5.1 days), followed by plates + screws + Kirschner wires (4.0 days). The length of hospitalization was the highest for patients treated with rotating hinge (18.8 days), followed by plates (12.88 days). The duration of the surgical intervention was the highest for patients treated with plates + screws + Kirschner wires (95.0 minutes), followed by plates + screws (84.29 minutes). The ablation interval was the highest for patients treated with plates (12 days). Length of hospitalization was significantly higher (p<0.05) for patients treated with rotating hinge vs. alternative implants systems. Conclusions: It is very important to correlate the parameters related to the patients’ management with implants and other relevant factors (systemic status, surgeon experience, soft tissues status, osteoporosis) to optimize the decision- making process and the long-term results of the treatment of the tibial plateau fractures.
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