Treatment of Schatzker Type II-VI Tibial Plateau Fractures by Means of Syndesmotaxis Using an Ilizarov External Fixator and Postoperative CT Evaluation
| Autor: | Georgios Gourtzelidis, George A. Macheras, Stamatios A. Papadakis, Dimitrios Pallis, Konstantinos Kateros, Margarita-Michaela Ampadiotaki |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
External fixator
medicine.diagnostic_test Impaction business.industry medicine.medical_treatment ilizarov fixator General Engineering Computed tomography computed tomography 030204 cardiovascular system & hematology Articular surface Plateau (mathematics) medicine.disease Trauma 03 medical and health sciences 0302 clinical medicine Orthopedics medicine Tibial plateau fracture tibial plateau fractures Nuclear medicine business 030217 neurology & neurosurgery Reduction (orthopedic surgery) Case series |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| Popis: | Introduction Tibial plateau fractures are more common in young patients following high-energy trauma. In this study, we aim to evaluate the articular surface reduction quality by means of postoperative computer tomography (CT) in Schatzker type II-VI tibial plateau fractures treated with an Ilizarov frame. Materials and methods This case series study included 45 patients with a mean age of 39.5 years (range: 18 to 65 years) with a Schatzker type II-VI tibial plateau fracture. The surgical technique was a mini-open reduction of the articular surface impaction followed by application of an Ilizarov circular frame with knee bridging. Pre- and postoperative CT scan evaluation was performed in all of the patients. Outcomes were measured using the American Knee Society Score (AKSS). Mean outpatient follow-up was of at least 12 months (range: 12 to 21 months). Mean time for fracture consolidation was 15.5 weeks (range: 13 to 19 weeks). According to the degree of postoperative articular surface impaction, patients were grouped as follows: 11 had less than 2 mm of depression, 27 had 2 to 4 mm of depression, and 7 over 4 mm of depression. Results Patients with articular surface impaction of more than 4 mm presented statistically significant lower values of AKSS compared to those with impaction of lower than 2 mm (p |
| Databáze: | OpenAIRE |
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