Postoperative outcomes of the first-stage reconstruction of microtia using autologous cartilage

Abstract

Objective: To describe the clinical characteristics and evaluate the outcomes of surgical treatment for closed tibial plateau fractures using locking plate fixation under fluoroscopic guidance at Hai Phong University of Medicine Hospital. Methods: The study included 31 patients with closed tibial plateau fractures treated with locking plate osteosynthesis under fluoroscopic guidance at Hai Phong University of Medicine and Pharmacy Hospital from January 2024 to June 2025. Results: Clinical symptoms included pain and swelling around the knee in 100% of patients, bruising in 27.3%, and blisters in 18.2%. According to the Tscherne classification, soft tissue injuries were Grade 1 in 72.7% and Grade 2 in 27.3%. Schatzker type III fractures accounted for the majority (45.5%). Most patients (93.9%) achieved primary wound healing. The average hospital stay was 15.55 days (ranging from 6 to 32 days). Early outcomes based on the Larson-Böstman scoring system were excellent in 87.9% (29/33), good in 9.1% (3/33), and fair in 3% (1/33). After 3 months, all patients could fully bear weight and walk without secondary displacement or visible callus formation on X-rays. After 6 months, knee function according to the Sanders score was good in 63%, fair in 33.3%, and average in 3.7%, with no poor outcomes reported. Conclusion: Surgical fixation of tibial plateau fractures under fluoroscopic guidance yields good anatomical restoration of the fracture site.