Abstract
The clinical and radiological results were excellent in this pilot study of four cases of depression fracture of the lateral tibial plateau, where, in addition to internal fixation with screws or a buttress plate, porous titanium granules were used to support the elevated articular surface.
Highlights
In the surgical treatment of depression fractures (Schatzker IIÁIII) of the lateral tibial plateau the goal is reduction of the articular surface and stable fixation
The surgical facilities were improved during the pilot time period, including a suitable drill bit to fenestrate the cortex beneath the lateral tibial plateau in pure depression fractures through which the depressed articular surface can be elevated
A 55-year-old woman with a split depression fracture returned to her previous employment 2.5 months after surgery and was pain-free after 6 months
Summary
In the surgical treatment of depression fractures (Schatzker IIÁIII) of the lateral tibial plateau (which constitute more than 50% of all tibial plateau fractures) the goal is reduction of the articular surface and stable fixation. In this pilot study we used titanium granules*which previously have been used to stabilize hip prostheses [3,4] and to enhance bone regeneration [5]*as bone substitute. 49Á62 years old (two in Ystad 2004 and two in Malmo 2007), were treated surgically for depression fracture (Schatzker IIÁIII) of the lateral tibial plateau using porous titanium granules of 1Á1.4 mm in size
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