Comparison of functional outcome between locking plate technique versus hybrid Ilizarov technique in patients with complex tibial plateau fractures.

Autor: Jafree, Baqir, Hamid, Adeel, Uddin, Shuja, Afghan, Sher, Saleem, Shoaib, Syed, Muhammad Khalid
Předmět:
Zdroj: Biomedica; 3/31/2024, Vol. 40 Issue 1, p55-55, 1p
Abstrakt: Background and Objective: Schatzker type V or VI tibial plateau fractures pose complicated surgical problems, with potential complications including neurovascular injury, compartment syndrome, and soft-tissue and ligament damage. Successful treatment requires regenerating articular cartilage, maintaining biological integrity, realigning the mechanical axis, stabilizing the joint, and preserving mobility. This study compares the functional outcomes of two approaches, the locking plate technique and the hybrid Ilizarov technique, in managing complicated tibial plateau fractures. Methods: This cross-sectional study was conducted on 78 patients presenting with proximal tibial complex fracture at the Orthopedic Surgery Department of Jinnah Hospital, Lahore. Patients were divided into two groups, Group A received the Hybrid Ilizarov Technique while Group B received the locking plate technique as a treatment modality for their fracture. Data were analyzed using statistical software with a p-value <0.05 as significant. Results: In Group A (Hybrid Ilizarov Technique), 84.6% of males and 15.4% of females participated, while Group B (locking plate technique) had 82.1% of males and 17.9% of females. Type VI fractures were the most common in both groups. Postoperative Rasmussen's clinical-functional knee score was higher in Group B (24.90 ± 4.266) as compared to Group A (22.23 ± 5.783). Functional outcome was reported as excellent in 46.2% of patients of Group A as compared to 30.8% of patients of Group B suggesting the supremacy of the locking plate technique in treating complex tibial plateau fractures. Conclusion: The locking plate technique is a more reliable method for treating complex proximal tibial fractures than the hybrid Illizarov technique. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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