Efficacy of a Biphasic Ceramic Bone Substitute in Management of Complex Tibial Plateau Fractures — Clinical and Radiologic Medium-Term Results

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The purpose of this retrospective study is to evaluate the efficacy of a biphasic synthetic ceramic bone substitute (Eurocer) combined with plate fixation in treating collapse tibial plateau fractures. 32 patients were included in the study. The surgical protocol consisted of: elevation of the articular depression through a limited cortical window using a curved bone compactor and image intensification, filling the defect with Eurocer granules and fixation with plates. Clinical and radiologic follow-up after 36 to 48 months revealed uneventful primary bone healing, excellent osseous integration of Eurocer and a mean Neer score of 87, 5 points. We conclude that Eurocer400® combined with plate fixation in managing collapsed tibial plateau fracture is a promising alternative in this difficult lesion regarding a fast healing, a good quality osseointegration, preventing secondary collapse and improving medium term results.

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190-195

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June 2014

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© 2014 Trans Tech Publications Ltd. All Rights Reserved

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