Early Results of a New Technique for the Treatment of High Grade Tibial Plateau Fractures

Christensen, Kevin P.; Powell, James; Bucholz, Robert W.; Stills, Mel

doi:10.1097/00005131-199004020-00059

Cited by 15 publications

(6 citation statements)

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“…The most common difficulties are faced by the surgeon while dealing with intra-articular proximal tibial fractures are the compromised skin and soft tissue envelope, which invites a high rate of complications following attempted open reduction and internal fixation, and poor bone quality and comminuted fracture patterns creating difficulty in achieving stable fixation [3,7,[9][10][11][12].…”

Section: Discussionmentioning

confidence: 99%

“…Complex proximal tibial fractures (Types V & VI of Schautzker classification) are the major problems in orthopedic surgery and associated with high complication rates. These fractures include bicondylar injuries with significant articular depression; multiple, displaced condylar fracture lines; metadiaphyseal fracture extension and comminution; and open wounds or extensive, closed injuries [1][2][3]. Both the complexity and the soft-tissue disruption of this subgroup of fractures contribute to the high rate of unsatisfactory results which follow both nonsurgical and surgical management [4,5].…”

Section: Introductionmentioning

confidence: 99%

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Treatment of Complex Proximal Tibial Fractures (Types V & VI of Schautzker Classification) by Double Plate Fixation with Single Anterior Incision

Hassankhani¹,

Omidi-Kashani²,

Hassankhani³

2013

OJO

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Background: complex proximal tibial fractures (Types V & VI of Schautzker classification) are the major problems in orthopedic surgery and associated with high complication rates. There are many alternatives in treatment of these fractures. Aim: to evaluate the results of double plating with single anterior incision in complex proximal tibial fractures (Types V & VI of Schautzker classification). Methods and Materials: 22 patients (16 males and 6 females) with Types V and VI of Schautzker classification of proximal tibial fractures (14 cases were Type V and 8 cases were Type VI) were treated by double plating with single anterior incision method between May 2006 and May 2011. The bony and functional outcome was evaluated according to Knee Society Score. Results: According to Knee Society Score, the results were as follows: excellent in 19 patients (86.4%), good in 2 patients (9.1%), fair in 1 patient (4/5%), and poor in no patient (0%). Conclusion: the double plate fixation with single anterior incision is the best, effective and simple procedure in treatment of complex proximal tibial fractures (Types V and VI of Schautzker classification).

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Treatment of Complex Proximal Tibial Fractures (Types V & VI of Schautzker Classification) by Double Plate Fixation with Single Anterior Incision

Hassankhani¹,

Omidi-Kashani²,

Hassankhani³

2013

OJO

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“…12 Hybrid fixation using lateral open reduction and internal fixation combined with unilateral external fixation does not address medial condylar comminution, because of the larger diameter of half pins and poor purchase in metaphyseal bone. 13 Limited internal fixation or lateral open reduction and internal fixation alone incompletely address the metadiaphyseal dissociation, resulting in collapse beneath the unsupported plateau. 14 Knee spanning external fixation does not allow early range of movement, impairing articular fracture healing.…”

Section: Discussionmentioning

confidence: 99%

Small Wire External Fixation for High-Energy Tibial Plateau Fractures

Kataria

Sharma

Kanojia

2007

J Orthop Surg (Hong Kong)

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“…Even the combination of minimal internal fixation with unilateral external fixation [3] does not allow to treat condylar comminution adequately on account of the large diameter of the half pins and the poor purchase of pins in the metaphyseal cancellous bone and in the small fragments.…”

Section: Introductory Remarksmentioning

confidence: 99%

Surgical Treatment of Tibial Plateau Fractures

Kulkarni¹,

Kulkarni²,

Kulkarni³

et al. 2001

Orthopaedics and Traumatology

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ObjectiveClosed reduction of Schatzker type 4, 5, and 6 fractures of the tibial plateau, internal fixation by lag screws inserted through a mini-incision, and stabilization with Ilizarov external ring fixator. IndicationsFractures of the tibial plateau of Schatzker type 4, 5, and 6. ContraindicationsOpen infected tibial plateau fractures. Relative contraindications are Schatzker type 1, 2, and 3 fractures of the tibial plateau which can be treated by simpler methods. Surgical TechniqueReduction of fracture by longitudinal traction on a fracture table. Percutaneous insertion of two or three 6.5-mm lag screws to compress the major fragments. Stabilization of the fracture with a three-ring construction of the Ilizarov frame. Further compression of fragments with olive wires, used also to reduce and compress posterolateral and/or posteromedial fragments. The frame is extended to the femur in instances of subluxation of the knee joint, ligamentous injuries, and associated femoral condylar fractures. ResultsBetween 1991-1997, 56 patients were operated on. Average follow-up: 3 years. Union occurred in all. Six patients showed a varus deformity of 5-10° and one a varus deformity of 15°; four patients had an extension lag between 5-10°. A minor pin tract infection was observed 20 times and a major pin tract infection three times necessitating pin removal. One patient who suffered a compound fracture complicated by aseptic arthritis eventually required an arthrodesis. Applying the score of the American Knee Society, an excellent result was obtained 20 times, a good result 28 times, a fair one four times, and a poor one four times.

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Early Results of a New Technique for the Treatment of High Grade Tibial Plateau Fractures

Cited by 15 publications

References 0 publications

Treatment of Complex Proximal Tibial Fractures (Types V & VI of Schautzker Classification) by Double Plate Fixation with Single Anterior Incision

Treatment of Complex Proximal Tibial Fractures (Types V & VI of Schautzker Classification) by Double Plate Fixation with Single Anterior Incision

Small Wire External Fixation for High-Energy Tibial Plateau Fractures

Surgical Treatment of Tibial Plateau Fractures

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Early Results of a New Technique for the Treatment of High Grade Tibial Plateau Fractures

Cited by 15 publications

References 0 publications

Treatment of Complex Proximal Tibial Fractures (Types V &amp; VI of Schautzker Classification) by Double Plate Fixation with Single Anterior Incision

Treatment of Complex Proximal Tibial Fractures (Types V &amp; VI of Schautzker Classification) by Double Plate Fixation with Single Anterior Incision

Small Wire External Fixation for High-Energy Tibial Plateau Fractures

Surgical Treatment of Tibial Plateau Fractures

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Product

Resources

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Treatment of Complex Proximal Tibial Fractures (Types V & VI of Schautzker Classification) by Double Plate Fixation with Single Anterior Incision

Treatment of Complex Proximal Tibial Fractures (Types V & VI of Schautzker Classification) by Double Plate Fixation with Single Anterior Incision