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A Novel Design of a Plate for Posterolateral Tibial Plateau Fractures Based on Computed Tomography Mapping of the Proximal Tibiofibular Joint

BACKGROUND: We designed a novel plate for the treatment of posterolateral tibial plateau fractures. We first gathered radiological data of the proximal tibiofibular joint to verify the feasibility of the novel plate and provide an anatomical basis. MATERIAL/METHODS: Tomographic images of 98 healthy...

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Detalles Bibliográficos
Autores principales: Ren, Dong, Liu, Yueju, Zhou, Bing, Lu, Jian, Wang, Pengcheng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6320643/
https://www.ncbi.nlm.nih.gov/pubmed/30574954
http://dx.doi.org/10.12659/MSM.911738
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author Ren, Dong
Liu, Yueju
Zhou, Bing
Lu, Jian
Wang, Pengcheng
author_facet Ren, Dong
Liu, Yueju
Zhou, Bing
Lu, Jian
Wang, Pengcheng
author_sort Ren, Dong
collection PubMed
description BACKGROUND: We designed a novel plate for the treatment of posterolateral tibial plateau fractures. We first gathered radiological data of the proximal tibiofibular joint to verify the feasibility of the novel plate and provide an anatomical basis. MATERIAL/METHODS: Tomographic images of 98 healthy human tibias were obtained retrospectively. The width of the lateral tibial plateau, width of the posterolateral tibial plateau to the sagittal plane of the tibial plateau and width of the proximal tibiofibular joint to the sagittal plane of tibial plateau were measured. The proximal posterolateral tibial bone cortex angle and posterolateral slope-diaphysis angle were also calculated. Paired sample t-test was used for comparing men and women, and left and right sides. We used 2 variables for Pearson correlation analysis between the width of the lateral tibial plateau and other length indices. RESULTS: There were no statistically significant differences between left and right knees (P>0.05). However, there were statistically significant differences of the 3 length indices between men and women (P<0.05). The length indices were all correlated to the width of the lateral tibial plateau (P<0.01). CONCLUSIONS: This study of the lateral tibial plateau has a high accuracy in anatomical measurement, and our novel plate design is feasible based on the data. The study provided anatomical basis for the novel plate.
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spelling pubmed-63206432019-01-24 A Novel Design of a Plate for Posterolateral Tibial Plateau Fractures Based on Computed Tomography Mapping of the Proximal Tibiofibular Joint Ren, Dong Liu, Yueju Zhou, Bing Lu, Jian Wang, Pengcheng Med Sci Monit Medical Technology BACKGROUND: We designed a novel plate for the treatment of posterolateral tibial plateau fractures. We first gathered radiological data of the proximal tibiofibular joint to verify the feasibility of the novel plate and provide an anatomical basis. MATERIAL/METHODS: Tomographic images of 98 healthy human tibias were obtained retrospectively. The width of the lateral tibial plateau, width of the posterolateral tibial plateau to the sagittal plane of the tibial plateau and width of the proximal tibiofibular joint to the sagittal plane of tibial plateau were measured. The proximal posterolateral tibial bone cortex angle and posterolateral slope-diaphysis angle were also calculated. Paired sample t-test was used for comparing men and women, and left and right sides. We used 2 variables for Pearson correlation analysis between the width of the lateral tibial plateau and other length indices. RESULTS: There were no statistically significant differences between left and right knees (P>0.05). However, there were statistically significant differences of the 3 length indices between men and women (P<0.05). The length indices were all correlated to the width of the lateral tibial plateau (P<0.01). CONCLUSIONS: This study of the lateral tibial plateau has a high accuracy in anatomical measurement, and our novel plate design is feasible based on the data. The study provided anatomical basis for the novel plate. International Scientific Literature, Inc. 2018-12-21 /pmc/articles/PMC6320643/ /pubmed/30574954 http://dx.doi.org/10.12659/MSM.911738 Text en © Med Sci Monit, 2018 This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) )
spellingShingle Medical Technology
Ren, Dong
Liu, Yueju
Zhou, Bing
Lu, Jian
Wang, Pengcheng
A Novel Design of a Plate for Posterolateral Tibial Plateau Fractures Based on Computed Tomography Mapping of the Proximal Tibiofibular Joint
title A Novel Design of a Plate for Posterolateral Tibial Plateau Fractures Based on Computed Tomography Mapping of the Proximal Tibiofibular Joint
title_full A Novel Design of a Plate for Posterolateral Tibial Plateau Fractures Based on Computed Tomography Mapping of the Proximal Tibiofibular Joint
title_fullStr A Novel Design of a Plate for Posterolateral Tibial Plateau Fractures Based on Computed Tomography Mapping of the Proximal Tibiofibular Joint
title_full_unstemmed A Novel Design of a Plate for Posterolateral Tibial Plateau Fractures Based on Computed Tomography Mapping of the Proximal Tibiofibular Joint
title_short A Novel Design of a Plate for Posterolateral Tibial Plateau Fractures Based on Computed Tomography Mapping of the Proximal Tibiofibular Joint
title_sort novel design of a plate for posterolateral tibial plateau fractures based on computed tomography mapping of the proximal tibiofibular joint
topic Medical Technology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6320643/
https://www.ncbi.nlm.nih.gov/pubmed/30574954
http://dx.doi.org/10.12659/MSM.911738
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