A comparative study of Less Invasive Stabilization System (LISS) fixation and two-incision double plating for the treatment of bicondylar tibial plateau fractures

Jiang, Rui; Luo, Congfeng; Wang, Mingchun; Yang, Tieyi; Zeng, Bingfang

doi:10.1016/j.knee.2007.12.001

Cited by 119 publications

(117 citation statements)

References 11 publications

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“…Sixty-two of these patients were available for final follow-up: 25% had postoperative radiographs that revealed malreduction, 14% of fractures had secondary loss of reduction and 5% did not achieve union. More recently, Jiang et al [17], in a prospective study, compared the clinical outcomes of conventional double plating and a single lateral LISS for the repair of bicondylar tibial plateau fractures. They found significantly higher incidence of postoperative malalignment of the proximal tibia, and a trend towards significance of a higher incidence of symptomatic hardware irritation in the LISS group compared with the double-conventional-plate group.…”

Section: Discussionmentioning

confidence: 99%

Proximal tibial fractures: early experience using polyaxial locking-plate technology

Nikolaou

Tan

Haidukewych

et al. 2010

International Orthopaedics (SICOT)

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Section: Discussionmentioning

confidence: 99%

Proximal tibial fractures: early experience using polyaxial locking-plate technology

Nikolaou

Tan

Haidukewych

et al. 2010

International Orthopaedics (SICOT)

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“…Certain autors have treated bicondylar tibial plateau fractures by means of a lateral fixed angular plate through a single lateral approach, thus Avoiding medial periosteal striping [13,14] . Jiang R et al, in their prospective study comparing locked plates, for the repair of bicondylar tibial plateau fractures reported similar results for the two groups 15. Neverthless as presented by Higgins et al, bicondylar fractures stabilized by means of a fixed angle platre present a higher rate of subsidence compared to dual plating stabilized fractures [16] .…”

Section: Discussionmentioning

confidence: 85%

A prospective study of hybrid external fixation for proximal tibial fractures

Prabhakar¹,

Mohan²,

S³

et al. 2018

Int. J. Orthop. Sci.

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The treatment of proximal tibial fractures or intraarticular fractures are often challenging. Many surgeons encounter problems with wound healing even in closed tibial fractures because of co-existing soft tissue injuries. External fixation of these fractures have yielded satisfactory results, but some studies had reported problems in the achievement and maintenance of fracture reduction. Hybrid external fixator presents with mechanical characteristics that differ from other systems of external fixator. The mechanical characteristics of hybrid external fixation system can be called as SOLID ELASTIC. It is solid enough for stabilization and providing micromotion which enhances good callus formation the purpose of this study is to assess the utility of this hybrid external fixation system and to analyze the functional outcome, soft tissue healing and fracture union.

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“…[8][9][10] There is a considerable debate regarding the best method for treating proximal tibia fractures and there is no clear consensus on which leads ABSTRACT Background: Complex tibial plateau fractures remain a challenge to even the most experienced surgeons. These injuries usually affect the young population in their productive years thereby causing socioeconomic impact.…”

Section: Introductionmentioning

confidence: 99%

“…6,7 Several fixation methods could be used for tibial plateau fractures including unilateral fixation with a single plate, dual-plate, a hybrid external fixator or a less invasive stabilizing system. [8][9][10] There is a considerable debate regarding the best method for treating proximal tibia fractures and there is no clear consensus on which leads to the best outcomes. The aim of current study was to review the functional outcome and complications in cases of Schatzker types V and VI tibial plateau fractures treated by open reduction and internal fixation with dual plates.…”

Section: Introductionmentioning

confidence: 99%

Functional outcome of Schatzker type V and VI tibial plateau fractures managed with open reduction internal fixation using dual plates

et al. 2017

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INTRODUCTIONSurgical treatment of high-energy tibial plateau fractures remains a challenge due to problems encountered which include wound complications, infection, varus collapse, knee stiffness, and articular malreductions.1-3 High energy tibial fractures usually affect the younger age group in productive life years and have significant socioeconomic impact due to late recovery time and subsequent requirement of early total knee replacement in some complicated cases. 4 Schatzker classified fractures of tibial plateau radiologically from type I to VI.5 Schatzker type V and VI fractures are high-energy fractures often accompanied by other injuries and complications. The complexity of the fracture pattern and the associated soft tissue disruption of these types of fractures contribute to high rate of failure and unsatisfactory results which follow both operative and non-operative management.6,7Several fixation methods could be used for tibial plateau fractures including unilateral fixation with a single plate, dual-plate, a hybrid external fixator or a less invasive stabilizing system. [8][9][10] There is a considerable debate regarding the best method for treating proximal tibia fractures and there is no clear consensus on which leads ABSTRACT Background: Complex tibial plateau fractures remain a challenge to even the most experienced surgeons. These injuries usually affect the young population in their productive years thereby causing socioeconomic impact. We performed a retrospective study to evaluate the functional outcome of of Schatzker type V and VI managed through open reduction and internal fixation. Methods: 26 patients with Schatzker type V and type VI tibial plateau fractures treated with open reduction and internal fixation using plates were included in the study. Three patients were lost to follow up, 23 patients were evaluated in the final analysis. The preoperative, intraoperative data was noted from the indoor files.The final evaluation was done using Oxford knee score and VAS score. Results: There were nine Schatzker type V fractures and 14 patients with Schatzker type VI fractures. The mean duration of follow-up was 68.32 months ranging from 41 months to 126 months. The mean Oxford knee score was 39.78. Patients with Schatzker type VI had mean OKS of 37.7.The mean MPTA and mean PPTA were 88.75 degrees and 7.35 degrees respectively. Average VAS Score was 2.8 ranging from 1 to 3.9. All patients returned to their preinjury level of activity and employment. There were no patients of deep infection. Conclusions:We conclude that open reduction and internal fixation of high-energy tibial plateau fractures gives excellent to good functional outcome with minimal soft tissue complications. The complications can be minimized with proper patient selection and soft tissue dissection.

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A comparative study of Less Invasive Stabilization System (LISS) fixation and two-incision double plating for the treatment of bicondylar tibial plateau fractures

Cited by 119 publications

References 11 publications

Proximal tibial fractures: early experience using polyaxial locking-plate technology

Proximal tibial fractures: early experience using polyaxial locking-plate technology

A prospective study of hybrid external fixation for proximal tibial fractures

Functional outcome of Schatzker type V and VI tibial plateau fractures managed with open reduction internal fixation using dual plates

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