Article Sidebar

PDF
Date Published: 28/01/2026
Abstract Views: 38
Views PDF: 28
DOI: 10.56535/jmpm.v51i1.1740
Issue
Vol. 51 No. 1 (2026): JOURNAL OF MILITARY PHARMACO-MEDICINE No.1 - 2026
Section
Articles
How to Cite
Nguyen, V. N., & Le, V. H. (2026). TREATMENT RESULTS OF CLOSED TIBIAL PLATEAU FRACTURES USING MINIMALLY INVASIVE LOCKING PLATE FIXATION AT MILITARY CENTRAL HOSPITAL 108. Journal of Military Pharmaco-medicine, 51(1), 145-154. https://doi.org/10.56535/jmpm.v51i1.1740

TREATMENT RESULTS OF CLOSED TIBIAL PLATEAU FRACTURES USING MINIMALLY INVASIVE LOCKING PLATE FIXATION AT MILITARY CENTRAL HOSPITAL 108

Viet Nam Nguyen1, Van Hai Le2,
1 Bệnh viện Trung ương Quân đội 108
2 Bệnh viện Quân y 103, Học viện Quân y

Main Article Content

Abstract

Objectives: To assess the treatment results of closed tibial plateau fractures using minimally invasive locking plate fixation. Methods: A prospective, descriptive, longitudinal, uncontrolled study was conducted on 36 cases with closed tibial plateau fractures who were treated with locking plate fixation at Military Central Hospital 108 from March 2023 to April 2024. Results: The rate of fracture union was 100%, the mean fracture union time was 14.45 ± 2.34 weeks. There was 1/36 case with a deep wound infection and malalignment of 8°, and 3/36 cases with malalignment of < 5°. No cases of secondary postoperative displacement of the fixation site or plate-screw failure were observed. Regarding functional rehabilitation: 21/26 achieved excellent results (80.8%), 4/26 had good outcomes (15.4%), 0/26 had moderate outcomes, and 1/26 had poor outcomes (3.8%). Conclusion: Minimally invasive locking plate fixation for closed tibial plateau fractures has good anatomical outcomes and functional rehabilitation, with a low rate of complications. 

Keywords

Tibial plateau fracture, Locking plate, Minimally invasive surgery, Fixation, Functional rehabilitation

Article Details

References

1. Vũ Xuân Hiếu. Đánh giá kết quả điều trị gãy kín mâm chày do chấn thương tại Viện Chấn thương Chỉnh hình Bệnh viện Trung ương Quân đội 108. Luận văn chuyên khoa II, Học viện Quân y. 2008.
2. Nguyễn Đình Phú. Nghiên cứu điều trị gãy kín mâm chày độ V, VI theo phân loại của Schatzker bằng khung cố định ngoài cải biên. Luận án Tiến sĩ Y học, Học viện Quân y. 2011.
3. Gosling T, Schandelmaier, et al. Single lateral locked screw plating of bicondylar tibial plateau fractures. Injury - International Journal of the Care of the Injured. 2005; 36(4):439-448.
4. Phisitkul P, McKinley TO, et al. Complications of locking plate fixation in complex proximal tibia injuries. Clinical Orthopaedics and Related Research. 2007; 454:83-91.
5. Boldin C, Fankhauser F, et al. Three-year results of proximal tibia fractures treated with the LISS. Journal of Orthopaedic Trauma. 2006; 20(5):285-292.
6. Nikolaou VS, Tan HB, et al. Proximal tibial fractures: early experience using polyaxial locking-plate technology. Injury - International Journal of the Care of the Injured. 2011; 42(8):1215-1221.
7. Schütz M, Kääb M, et al. Stabilization of proximal tibial fractures with the LIS-System: Early clinical experience in Berlin. Injury-Supplement. 2003; 34(Suppl 1): S30-S35.
8. Stannard JP, Wilson TC, et al. Fracture stabilization of proximal tibial fractures with the proximal tibial LISS: Early experience in Birmingham, Alabama (USA). Injury-Supplement. 2003; 34(Suppl 1): S36-S42.
9. Tegner Y, Lysholm J, et al. Evaluation of knee ligament injuries. Trong: Müller W, Hackenbruch W (chủ biên). Surgery and Arthroscopy of the Knee. Springer, Berlin/Heidelberg; 1988. (in: Larson RL. Rating sheet for knee function. In: Smillie I (ed). Diseases of the Knee Joint. Churchill-Livingstone, Edinburgh, 1972:29.)