Outcome of complex tibial plateau fractures with Ilizarov external fixation with or without minimal internal fixation
| Autor: | Madhusudhan Tammanaiah, Koushik Narayan Subramanyam, Ritesh Nilakanthrao Bhoskar, Abhishek Vasant Mundargi, Patllola Siddharth Reddy |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty External fixator Time Factors medicine.medical_treatment Ilizarov Technique 03 medical and health sciences External fixation Fracture Fixation Internal Fractures Bone Young Adult Ring fixator 0302 clinical medicine Antigens Neoplasm Tibial plateau fractures medicine Internal fixation Humans Orthopedics and Sports Medicine Statistical analysis Knee Reduction (orthopedic surgery) Retrospective Studies 030222 orthopedics lcsh:R5-920 Tibia business.industry 030208 emergency & critical care medicine Small sample Middle Aged Surgery Treatment Outcome Radiological weapon Female Original Article Mitogen-Activated Protein Kinases Ilizarov techniques business Range of motion lcsh:Medicine (General) Schatzker's classification Follow-Up Studies |
| Zdroj: | Chinese Journal of Traumatology, Vol 22, Iss 3, Pp 166-171 (2019) Chinese Journal of Traumatology |
| ISSN: | 1008-1275 |
| Popis: | Purpose: To evaluate the clinico-radiological outcome of complex tibial plateau fractures treated with Ilizarov external fixation with or without minimal internal fixation. Methods: This retrospective review was conducted on all the cases of Schatzker types V and VI tibial plateau fractures treated by Ilizarov external fixation between July 2006 and December 2015 with the minimum follow-up duration of one year. There were 30 patients: 24 males and 6 females, mean age 43.33 years, and mean follow-up 3.6 years. Three of them were open fractures; 15 cases were Schatzkertype V fractures and the other 15 type VI. According to AO/OTA classification, there were 11 type C1, 12 C2 and 7 type C3 fractures. Outcome assessment was made with American Knee Society Score (AKSS) and Rasmussen's Radiological Score (RRS) at final follow-up. Results: Out of the 30 cases, mini-open reduction was performed in 7, bone graft in 4, minimal internal fixation in 10 and knee temporary immobilisation in 11 patients. Mean duration of external fixation was 11.8 weeks. All fractures united. Pin tract infections in 7 and common peroneal neuropathy in 2 patients were self-limiting. Two patients had axial misalignment of less than 10°. At final follow-up, the mean knee range of motion was 114.7, mean AKSS 81.5 and mean RRS 16.7. On statistical analysis, Schatzker type of fractures, use of minimal internal fixation and knee-spanning did not influence the final outcome. Conclusion: Ilizarov external fixator with or without minimal internal fixation provides acceptable outcome for complex tibial plateau fractures. Care must be taken to look for minor loss of alignment, especially in Type VI Schatzker fractures after removal of the fixator. However small sample size precludes firm conclusions. Key words: Tibial plateau fractures; Schatzker's classification; Ilizarov techniques; Ring fixator |
| Databáze: | OpenAIRE |
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