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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2023; 58(02): 313-319
DOI: 10.1055/s-0042-1749201
Artigo Original
Joelho

Outcomes of the Carlson Approach in the Treatment of Posterior Tibial Plateau Fractures

Article in several languages: português | English
Jonatas Brito de Alencar Neto 
1   Divisão de Ortopedia e Traumatologia, Instituto Doutor José Frota, Fortaleza, CE, Brasil
2   Grupo de Cirurgia do Joelho, Cínica Articular, Fortaleza, CE, Brasil
,
Itallo Epaminondas de Queiroz Rego 
1   Divisão de Ortopedia e Traumatologia, Instituto Doutor José Frota, Fortaleza, CE, Brasil
,
Márcio Bezerra Gadelha Lopes 
1   Divisão de Ortopedia e Traumatologia, Instituto Doutor José Frota, Fortaleza, CE, Brasil
2   Grupo de Cirurgia do Joelho, Cínica Articular, Fortaleza, CE, Brasil
,
Lana Lacerda de Lima 
3   Divisão de Ortopedia e Traumatologia, Hospital Tarcísio Maia, Mossoró, RN, Brasil
4   Departamento de Ciências da Saúde, Universidade Federal Rural do Semi-Árido - UFERSA, Mossoró, RN, Brasil
,
Renata Clazzer 
3   Divisão de Ortopedia e Traumatologia, Hospital Tarcísio Maia, Mossoró, RN, Brasil
,
Diego Ariel de Lima 
3   Divisão de Ortopedia e Traumatologia, Hospital Tarcísio Maia, Mossoró, RN, Brasil
4   Departamento de Ciências da Saúde, Universidade Federal Rural do Semi-Árido - UFERSA, Mossoró, RN, Brasil
› Author Affiliations Financial Support There was no financial support from public, commercial, or non-profit sources.
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Abstract

Objectives To describe a series of cases of tibial fractures surgically treated using the posterior approach as described by Carlson, focusing on evaluating its functional results and complication rate.

Methods Eleven patients with tibial plateau fractures, who underwent surgical treatment using the Carlson approach from July to December 2019, were followed-up. The minimum follow-up period was defined as 6 months. The American Knee Society Score (AKSS), American Knee Society Score/Function (AKSS/Function) and the Lysholm score were used to check treatment results at 6 months after the fracture. The patients underwent standard anteroposterior and lateral radiographs to assess fracture healing, and clinical healing was determined by the absence of pain during full weight-bearing.

Results The mean follow-up period was 12 months (9–16 months). The primary mechanism of trauma was motorcycle accident, and the most prevalent side of fracture was the right side. Eight participants were male. The mean age of the patients was 28 years. All fractures healed, and none of the patients presented complications. The AKSS was excellent in 11 patients, with a mean AKSS/Function of 99.1 ± 3, and Lysholm scores with a median of 95.0 ± 5.6.

Conclusions The Carlson approach for posterior fractures of the tibial plateau can be considered safe, presenting a low complication rate and satisfactory functional results.

Keywords

tibial fractures - surgical procedures, operative - rehabilitation

* Work developed at the Institute José Frota, Fortaleza, CE, Brazil.




Publication History

Received: 06 December 2021

Accepted: 28 March 2022

Article published online:
02 June 2022

© 2022. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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