Fractures of the Tibial Plateau

Reibel, Donald B.; Wade, Preston A.

doi:10.1097/00005373-196207000-00003

Cited by 15 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Instability of the knee after these fractures is a major cause of a poor result. 15,[17][18][19] Whether it is due to ligamentous laxity or bone deformity is debatable. 18,20 There is no general agreement as to whether the repair of associated ligament injuries at the time of the fixation of the fracture is necessary, but many believe that operative repair should be undertaken.…”

Section: Discussionmentioning

confidence: 99%

Results of ring (Ilizarov) fixator in high energy Schatzker type VI fractures of proximal tibia

Debnath

Jha

Pujari

2018

Journal of Clinical Orthopaedics and Trauma

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Results of ring (Ilizarov) fixator in high energy Schatzker type VI fractures of proximal tibia

Debnath

Jha

Pujari

2018

Journal of Clinical Orthopaedics and Trauma

View full text Add to dashboard Cite

show abstract

“…Instability of the knee after these fractures is a major cause of a poor result (Reibel and Wade 1962;Roberts 1968;Rasmussen 1973;Schulak and Gunn 1975;Hohl and Hopp 1976;Dejour et al 1981;Lansinger et al 1986). Whether it is due to ligamentous laxity or bone deformity is debatable (Delamarter, Hohl and Hopp 1990).…”

Section: Discussionmentioning

confidence: 99%

Treatment of High-Energy Tibial Plateau Fractures by the Ilizarov Circular Fixator

Dendrinos¹,

Kontos²,

Katsenis³

et al. 1996

The Journal of Bone and Joint Surgery. British volume

191

104

View full text Add to dashboard Cite

All the fractures united, with an average time to healing of 14.4 weeks. Thirteen patients achieved full extension and 13 more than 110° of flexion. Twenty-two knees were stable. Fifteen patients walked normally and the rest with only a slight limp. All but two knees had an articular step-off of less than 4 mm and all had normal axial alignment except two. There were no cases of postoperative skin infection, osteomyelitis or septic arthritis.Ilizarov circular fixation is an ideal method of treatment for these fractures when extensive dissection and internal fixation are contraindicated due to trauma to the soft tissue, deficiency of bone stock, and bony comminution. [Br] 1996;78-B:710-7. Received 16 November 1995; Accepted after revision 15 February 1996 Bicondylar high-energy fractures are associated with severe articular depression, separation of both condyles, diaphyseal comminution and dissociation and loss of integrity of the soft-tissue envelope. They occur primarily in younger patients usually with multiple injuries. J Bone Joint SurgThe most popular treatment has been open reduction and internal fixation with double plating (Müller et al 1979;Schatzker, McBroom and Bruce 1979;Waddell, Johnston and Neidre 1981;Edwards 1983;Moore, Patzakis and Harvey 1987;Schatzker 1987; DeCoster, Nepola and ElKhoury 1988;Benirschke et al 1992;Tscherne and Lobenhoffer 1993;Watson 1994), but this is associated with many complications such as joint stiffness, malunion, skin loss, osteomyelitis, amputation and even death. The incidence has been as high as 50% in some studies (Rittman et al 1979;Perry et al 1984;Moore et al 1987;Schatzker 1987;Stokel and Sadesivan 1991) and the occurrence of postoperative skin infection and osteomyelitis has been reported as 42% and 33%, respectively (Uhl et al 1994). To reduce the incidence of such problems minimal internalexternal fixation through limited approaches has been attempted with some good results (Murphy, D'Ambrosia and Dabezies 1991; Tscherne and Lobenhoffer 1993;Carr 1994;Stamer et al 1994;Watson 1994).An alternative method was proposed by Ilizarov (Catagni 1991; Ilizarov 1992), and we have adopted his techniques for the treatment of fractures and nonunion (Dendrinos, Kontos and Lyritsis 1995;. In this prospective study we have used this method for the management of high-energy fractures of the tibial plateau. PATIENTS AND METHODSBetween October 1989 and July 1993 we treated 24 consecutive patients with severe bicondylar fractures of the tibial plateau by the Ilizarov fixator (Table I). They were reviewed at a minimum of 24 months and the level of function, clinical and radiological findings and the patients' opinion were assessed. There were 18 men and 6 women with a mean age of 39 years (18 to 69). Four patients were car drivers or passengers, eight were pedestrians struck by motor vehicles and seven were motor-cycle riders. Four had been injured by falls from a height and one had a crush injury caused by a collapsed wall. Eleven (46%) of the fractures were open. There we...

show abstract

“…Although closed techniques make it harder to accomplish anatomical reduction, intra-operative imaging helps in achieving congruent reduction. Instability of the knee after these fractures is a major cause of poor outcomes [17][18][19] Its disputed whether its caused by ligament laxity or bone malformation [20]. Although there is no agreement on whether or not it is necessary to treat concomitant ligament damage at the same time as the fracture, many people think it essential.…”

Section: Discussionmentioning

confidence: 99%

Result of Ring Fixator in High-energy Schatzker Type VI Fractures of Proximal Tibia

Khanzada

Joyo²,

Javed³

et al. 2021

JPRI

View full text Add to dashboard Cite

Background: Significant articular depression, separation of both condyles, diaphyseal comminution and dissociation, and loss of soft-tissue envelope integrity are all associated with high-energy proximal tibia fractures (Schatzker VI). Over the past 50 years, there has been a lot of research on plating problems in these complicated fractures. For the care of these complex injuries, Ilizarov devised a new method (ring fixator). Aim of the Study: To examine the outcomes of patients who received a ring fixator for the treatment of high-energy proximal tibia fractures (Schatzker VI). Materials and Methods: Fourteen patients (mean age 36) were treated with the Ilizarov fixator and transfixion wires for high-energy fractures of the proximal tibia (Schatzker VI). Nine of the patients had open fractures, and five of them had significant soft tissue damage. They were all tracked for an average of 19.4 months. The result was analyzed using the criteria set by Honkonen & Jarvinen (1992). Results: Thirteen fractures healed in an average of 14.6 weeks, with one taking six months. Twelve patients recovered complete extension, while eight others regained more than 110 degrees of flexion. All of the patients knees were stable, except one who had a minor varus deformity. Nine patients walked normally, while four had a little limp. Except for one, all of the knees exhibited an articular step-off of less than 4 mm and normal axial alignment. Six knees were found to be outstanding, five to be decent, and three to be fair. There were no instances of postoperative skin infection or septic arthritis, however, three patients did have a pin tract infection that was effectively managed. Conclusion: The technique is suitable for the treatment of complex proximal tibia fractures when there is substantial comminution at the fracture site as well as soft tissue damage (Schatzker VI).

show abstract

Fractures of the Tibial Plateau

Cited by 15 publications

References 0 publications

Results of ring (Ilizarov) fixator in high energy Schatzker type VI fractures of proximal tibia

Results of ring (Ilizarov) fixator in high energy Schatzker type VI fractures of proximal tibia

Treatment of High-Energy Tibial Plateau Fractures by the Ilizarov Circular Fixator

Result of Ring Fixator in High-energy Schatzker Type VI Fractures of Proximal Tibia

Contact Info

Product

Resources

About