Abstract:
Background. Tibial plateau fractures represent according to literature data approximately 1% of
the total fractures in the general population and 8% among the senile age population which are
mainly treated surgically. The aim of our study was to analize the results of using bone allografts
in surgical treatment of patients with tibial plateau fractures treated in Orthopedics and
Traumatology Clinic Vitalie Betisor durind period 2017-2021.
Materials and methods.We analyzed 10 clinical cases: 2 men and 8 women, mean age 59,4
years. By Schatzker classification of fractures type II was met in 3 cases, III – 3, V – 3, VI – 1,
all the fractures were close. Surgical management consisted of open reduction, internal fixation
with angular stability plates. Freshly frozen structural cancellous bone allografts were used to
perform bone grafting of the bone defect formed after the reduction of fragments, which
consisted at least 8 cm3
.
Results. Postoperative follow-up was performed at 6, 12, 16, 24 weeks. Patients were evaluated
clinically and radiographically, according to the Lysholm Knee Scoring Scale it was obtained an
average score of 90 points. Bone healing was achieved to all patients in a period of between 12
to 16 weeks. No postoperative complications were noted. Results were depending on the the
quality of reduction, stability of osteosynthesis, rightness of functional recovery and patient
compliance.
Conclusion. Freshly frozen structural cancellous bone allografts are a good and safe option for
grafting of large bone defects that may occur after the reduction during the surgical treatment of
tibial plateau fractures.
