Complex fractures pose a great challenge in treatment.
A month ago, Mr. Tong, 59 years old, suffered a severe fracture of the lateral tibial plateau due to an accidental injury.
The tibial plateau is located at the lower part of the knee joint, acting like a “tray” that supports the entire body weight, and is a major support and load-bearing part of the human body.
Therefore, the tibial plateau is particularly important for human movement and a healthy life. Among various fracture treatments, tibial plateau fractures are a more complex type of intra-articular fractures, with complicated surgeries and extremely high demands on the surgeon. Since the tibial plateau is an important part of the knee joint, even a slight error during surgery can lead to minor issues such as impaired normal knee function, joint instability, and loss of knee function, or more severe problems such as long-term pain and mobility impairment, and even lifelong disability, which can greatly affect normal life.
Patient-first approach to formulate a precise treatment plan
After the accidental injury, Mr. Tong was urgently sent to Hainan Chengmei Hospital for treatment. The orthopedic director, Professor Wang Kuaisheng, and his team conducted a comprehensive and detailed assessment of the patient’s condition. It was found that Mr. Tong’s fracture not only involved the lateral side of the tibial plateau but also had severe articular surface collapse and surrounding soft tissue contusions.
Experts explained that the tibial plateau area is of the “cancellous bone” type, with a bone texture similar to volcanic rock, containing “cavities” inside. Due to the accidental injury, Mr. Tong’s tibial plateau suffered a severe “collapse.” During the surgery, it is not only necessary to fix the fractured area, but more importantly and complexly, to reposition the articular surface well, “fill” the collapsed area, and ensure that the articular surface is smooth and flat. The filled collapsed area must fit perfectly with the condition before the injury, without any error.
Therefore, the surgical skills and anatomical experience of the experts are extremely strictly required.
Professor Wang Kuaisheng has been engaged in orthopedic treatment for more than 30 years, accumulating tens of thousands of cases of bone trauma surgery treatment experience, and is highly trusted by patients and well-evaluated in the industry.
Faced with the patient’s complex condition, Professor Wang Kuaisheng and his team, with their rich clinical experience and superb professional skills, formulated a meticulous and precise surgical treatment plan for Mr. Tong.
Experts with rich experience help the patient regain a healthy life
The intraoperative findings were consistent with the preoperative predictions, with complex and difficult fracture conditions.
The experts, like meticulous cultural relic restorers, used a filling material called “artificial bone” to lift and reposition the collapsed articular surface bit by bit, restoring it to its normal anatomical position. Subsequently, they precisely implanted the pre-selected plates and screws to fix the fractured area. After an hour and a half of hard work, the surgery was successfully completed, and the fractured area was ideally repositioned and fixed.
Subsequently, the orthopedic team and the hospital’s rehabilitation experts formulated a scientific and standardized rehabilitation plan for Mr. Tong.
On January 13rd, the patient returned to the hospital for a follow-up examination, and there were no complications such as infection or displacement at the surgical site. After scientific rehabilitation training, Mr. Tong’s knee joint recovered as usual.
Expert Introduction
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Tuesday all day (Outpatient Department of Hainan Cancer Hospital)
Friday afternoon (Outpatient Department of Hainan Chengmei Hospital)
Author | Liang Shan
Edited by | Huang Fei