High Variability in Type and Indications for Bone Void Filler in Tibial Plateau Fracture Repair.

Michael F Githens, Cesar Cardenas, Reza Firoozabadi
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Abstract

Tibial plateau fractures are a common injury treated by orthopaedic trauma surgeons. Depression of the articular surface of the tibial plateau is often an associated injury pattern. The methods used to address depressed tibial plateau fractures can vary, as it has yet to be determined if the type of bone void filler utilized affects the long-term functional outcomes of patients with tibial plateau fractures. A 28-question survey was created to better elucidate the current practices used by orthopaedic surgeons and the factors influencing the selection of bone void fillers for treatment of these injuries. The survey was distributed online to Orthopaedic Trauma Association (OTA) members. There were 106 orthopaedic surgeons that completed the survey with a wide range of responses. The survey determined the current practice of orthopaedic surgeons varies widely when selecting bone void fillers in the treatment of depressed tibial plateau fractures. (Journal of Surgical Orthopaedic Advances 32(3):156-159, 2023).

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胫骨平台骨折修复中骨空隙填充物的类型和适应症差异很大。
胫骨平台骨折是创伤骨科医生治疗的常见损伤。胫骨平台关节面凹陷通常是一种相关的损伤模式。用于处理胫骨平台凹陷骨折的方法可能各不相同,因为尚未确定使用的骨空隙填充物类型是否会影响胫骨平台骨折患者的长期功能预后。为了更好地阐明矫形外科医生目前使用的方法以及影响选择骨空隙填充物治疗这些损伤的因素,我们制作了一份包含 28 个问题的调查问卷。调查表通过网络分发给创伤骨科协会(OTA)会员。共有 106 名矫形外科医生完成了调查,他们的回答各不相同。调查结果显示,骨科医生目前在治疗胫骨平台凹陷骨折时选择骨空隙填充物的做法存在很大差异。(外科骨科进展杂志》(Journal of Surgical Orthopaedic Advances 32(3):156-159,2023 年)。
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