ArticlePatient safety in surgery2013
Incidence and pattern of technical complications in balloon-guided osteoplasty for depressed tibial plateau fractures: a pilot study in 20 consecutive patients.
Article in Patient safety in surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.
- Outcomes following balloon tibioplasty versus conventional osteosynthesis techniques for Schatzker type III tibial plateau fractures: a systematic review.Journal of orthopaedic surgery and research · 2022Pooled it
- Percutaneous Reduction and Internal Fixation for Monocondylar Fractures of Tibial Plateau: A Systematic Review.Orthopaedic surgery · 2018Pooled it
- First exploration of three-dimensional-printed guide plate in balloon tibioplasty: A case report.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2026Article
- Innovative Use of Posterior Vertebral Wall Impactor in Tibial Plateau Depressed Fractures.Indian journal of orthopaedics · 2020Article
- [Reduction and fixation of tibia plateau fractures : Tips and tactics based on the 3-column concept].Operative Orthopadie und Traumatologie · 2020Article
- Article
- Articular impaction injuries in the lower limb.EFORT open reviews · 2017Article
- Balloon tibioplasty for reduction of depressed tibial plateau fractures: Preliminary radiographic and clinical results.International orthopaedics · 2016Article
- Balloon-guided inflation osteoplasty in the treatment of Hill-Sachs lesions of the humeral head: case report of a new technique.Patient safety in surgery · 2016Article
- [Balloon osteoplasty as reduction technique in the treatment of tibial head fractures].Der Unfallchirurg · 2015Review
- Orthobiologics in the augmentation of osteoporotic fractures.Current osteoporosis reports · 2015Review
- [Minimally invasive treatment of depression fractures of the tibial plateau using balloon repositioning and tibioplasty: video article].Der Orthopade · 2014Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundInflation bone tamps are becoming increasingly popular as a reduction tool for depressed tibial plateau fractures. A number of recent publications have addressed the technical aspects of balloon inflation osteoplasty. However, no study has yet been published to describe the technical limitations, intraoperative complications, and surgical bailout strategies for this new technology.
methodsObservational retrospective study of all patients managed with inflatable bone tamps for depressed tibial plateau fractures between October 1, 2010 and December 1, 2012. The primary outcome parameter was the rate of complications, which were stratified into "minor" and "major" depending on the necessity for altering the surgical plan intraoperatively, and based on the risk for patient harm. This study was approved by the Institutional Review Board of the State of Colorado.
resultsA consecutive series of 20 patients were managed by balloon inflation osteoplasty for depressed tibial plateau fractures during the 15 months study period. The mean age was 42.8 years (range 20-79), with 9 females and 11 males. A total of 13 patients sustained an adverse intraoperative event (65%), with three patients sustaining multiple technical complications. Minor events (n = 8) included the burst of a balloon with extrusion of contrast dye, and the unintentional posterior wall displacement during balloon inflation. Major events (n = 5) included the intra-articular injection of calcium phosphate in the knee joint, and the inability to elevate the depressed articular fragment with the inflatable bone tamp.
conclusionThe observed intraoperative complication rate of 65% reflects a steep learning curve for the use of inflation bone tamps to reduce depressed tibial plateau fractures. Specific surgical bailout options are provided in this article, based on our early anecdotal experience in a pilot series of 20 consecutive cases. Patients should be advised on the benefits and risks of this new technology as part of the shared decision-making process during the informed consent.
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Registered trials
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