Functional and radiological outcome of proximal tibia fractures managed with Ilizarov technique with or without minimal internal fixation.

Autor:	Ketankumar, Gandhi, Satyen, Joshi, Sandip, Pangavane, Akshaya, Meher, Patil, Vishal
Předmět:	WEIGHT-bearing (Orthopedics) POSTOPERATIVE care TIBIAL plateau fractures ACADEMIC medical centers SURGERY PATIENTS FRACTURE fixation FUNCTIONAL assessment FUNCTIONAL status TIBIA TREATMENT effectiveness PREOPERATIVE care MEDICAL device removal DESCRIPTIVE statistics RETROSPECTIVE studies KNEE joint LONGITUDINAL method WALKING X-rays INTERNAL fixation in fractures MEDICAL records ACQUISITION of data ANTIBIOTIC prophylaxis DATA analysis software RANGE of motion of joints
Zdroj:	Archives of Trauma Research; 2024, Vol. 13 Issue 1, p27-36, 10p
Abstrakt:	Background: Proximal tibia fractures are often accompanied by extensive soft tissue injuries, which lead to frequent post-operative complications like wound dehiscence, infection, and non-union. In such injuries, there is a need for anatomical reduction and stable fixation for a good surgical outcome. The surgical procedures involving internal fixation have increased the complication rate of such fractures. Ilizarov ring fixation can provide stable fixation, does not need extensive soft tissue dissection, and encourages early mobilization. Objectives: This study aimed to assess the functional and radiological outcome of proximal tibia fractures managed with Ilizarov technique with or without minimal internal fixation. Methods: 35 patients with either intra-articular as well as extra-articular proximal tibia fractures between January 2018 and May 2022 were included in this study. All the included patients were operated on using Ilizarov technique. The functional outcome was assessed using the Modified Rasmussen Criteria for clinical assessment, and the radiological outcome by Modified Rasmussen Criteria for radiological assessment. Results: All patients achieved radiological union at a mean duration of 16 weeks. Full weight-bearing was also allowed at a mean of 12 weeks. Functional results were excellent in 22 cases, good in 12 cases and poor in one. Most patients achieved functional range of motion at the knee joint (average flexion 128o ) except one, who had a flexion of less than 110o . Axial malalignment of less than 10o was seen in 4 cases, and articular step of less than 5 mm was seen in 2 cases. Conclusion: Ilizarov ring fixation is an excellent method of fixation in proximal tibia fractures, both extra-articular and intra-articular. It gives stable fixation, encourages early mobilization, has a higher union rate, and prevents damage to the soft tissue envelope, which is often compromised in such fractures. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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