Outcome of complex fractures of the tibial plateau treated with a beam-loading ring fixation system
| Autor: | Michael Saleh, Ahmad M. Ali, Maria Burton, Munawar Hashmi |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Adult
Male Reoperation medicine.medical_specialty External Fixators Movement medicine.medical_treatment medicine.disease_cause Weight-bearing Weight-Bearing Fixation (surgical) External fixation Postoperative Complications Bone Density Fracture Fixation Fracture fixation medicine Humans Orthopedics and Sports Medicine Prospective Studies Tibia Prospective cohort study Aged Aged 80 and over Osteosynthesis business.industry Middle Aged Surgery Radiography Tibial Fractures Treatment Outcome Radiological weapon Female business |
| Zdroj: | The Journal of Bone and Joint Surgery. British volume. :691-699 |
| ISSN: | 2044-5377 0301-620X |
| Popis: | Fine-wire accepted as a minimally external fixation is invasive technique, which can provide better outcomes than traditional open methods in the management of complex fractures of the tibial plateau. Available fixators vary in their biomechanical stability, and we believe that a stable beam-loading system is essential for consistently good outcomes. We assessed, prospectively, the clinical, radiological and general health status of 20 of 21 consecutive patients with complex fractures of the tibial plateau who had been treated using a standard protocol, with percutaneous screw fixation and a neutralisation concept with a fine wire beam-loading fixator allowing early weight-bearing. Bony union was achieved in all patients, with 85% having good or excellent results. Full weight-bearing started during the first six weeks in 60% of patients. The general health status assessment correlated well with the knee scores and reflected a satisfactory outcome. |
| Databáze: | OpenAIRE |
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