Hybrid external fixation in complex tibial plateau and plafond fractures: an Australian audit of outcomes

Piper, Kalman; Won, Heejae; Ellis, Andrew

doi:10.1016/j.injury.2004.04.006

Cited by 46 publications

(24 citation statements)

References 16 publications

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“…Initial fibula fixation was routinely done with one third tubular plate. It restores limb length and helps in the reduction of the tibial plafond in the correct position [50] A vertical or curvilinear incision was made at the level of medial malleolus with the utmost care not to injure great sephanous vein and sephanous nerve. Sub cutaneous plane was made with hemostat without striping periosteum and disturbance to fracture haematoma.…”

Section: Methodsmentioning

confidence: 99%

Surgical management of distal tibia fracture by mippo using locking compression plate

Chandar¹,

Harish²,

R³

et al. 2017

Int. J. Orthop. Sci.

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Introduction:The following study was conducted to examine the short term clinical and radiological results particularly early complications and healing rate of distal tibia fracture treated by MIPPO using LCP. Methodology: The study was conducted in patients treated for distal tibia fracture (type A, B & C -AO classification) at Adichunchanagiri Institute of Medical Science, BG Nagar from the month of Nov 2013 to Nov 2015. Twenty distal tibia fracture patients were taken into the study, all were fixed with LCP by mippo, some with Bone grafting where the distal tibia fractures were associated with bone loss and communition. Patients' age ranged from 27 to 68 years with a mean of 50. Results: The sample consisted of twenty patients with 11 males and 09 were female. The patients' ages ranged from 27-68 years with a mean age of 50 years. The causes of fractures were motorvehicle accident in 13 patients and fall in 07 patients. There were no sports or industrial accidents. 12 fractures involved the right side and 08 involved the left. The average length of hospitalisation was 15 days with a range of 10 to 20 days. The average number of days from injury to surgery was 5 days with a range of 2 to 10 days. The operative time ranged from 45 minutes to 120 minutes. Patients were followed up from 01 to 24 months. Functional outcome was rated as per The modified ankle score of Olerud and Molander, we got excellent results in 10 cases, good in 07, fair in 02 and poor in one patient. Conclusion:The LCP is a good implant to use for fractures of the distal tibia by mippo method. However, accurate positioning and fixation are required to produce satisfactory results. We recommend use of this implant in Type A, B and C, osteoporotic fractures. Our early results were encouraging but long term studies are needed to prove definitively acceptable outcomes so that the technique can become part of the armamentarium of the orthopaedic trauma surgeon.

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Section: Methodsmentioning

confidence: 99%

Surgical management of distal tibia fracture by mippo using locking compression plate

Chandar¹,

Harish²,

R³

et al. 2017

Int. J. Orthop. Sci.

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“…Indirect reduction and external fixation has been advocated by many authors to improve the results and to minimize the risk of serious complications in high energy, complex tibial plateau fractures [28][29][30].…”

Section: Treatment Optionsmentioning

confidence: 99%

Arthroscopically Assisted Fixation of the Tibial Plateau Fractures

Tilkeridis¹,

Kiziridis²,

Tottas³

et al. 2018

J Bone Res

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Objectives: To consolidate the current literature and find the evidence of any advantages of the use of the above mentioned techniques and also to emphasize the need for well-designed studies to evaluate long-and short-term function and risk of posttraumatic osteoarthritis in arthroscopically-assisted treated patients. Background:The role of arthroscopy in the fixation of tibial plateau fractures has been advocated in the literature in the last decades. A number of papers have been published regarding Arthroscopically Assisted Internal Fixation (mainly) and Arthroscopically Assisted External Fixation (significantly smaller amount of papers) of tibial plateau fractures.

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“…External fixation and intramedullary nailing techniques, beyond doubt minimize soft tissue trauma and have been shown to diminish infection but their use is complicated by mal-union, non-union, unsatisfactory reduction of articular surface, and pin tract infection [2][3][4][5][6][13][14][15] . Traditional dynamic plates achieve the first-stage healing of fractures through absolute stable fixation [7] .…”

Section: -6mentioning

confidence: 99%

Minimally invasive percutaneous plate osteosynthesis (MIPPO) in distal tibia fractures-retrospective functional and radiological outcome analysis among rural population

J¹,

Js²,

Manohar³

et al. 2018

Int. J. Orthop. Sci.

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Background: Distal tibia fractures are one of the common fractures and results from indirect coronal or direct axial compression forces. These fractures encompass many and varied fracture configurations that involve medial, lateral, or both sides with many degrees of articular depressions and displacements. Each fracture type has its own characteristic morphology and response to the treatment. Need for Study: Despite many advances in the care of these fractures, distal tibia fractures continue to be a difficult surgical problem. A survey of literatures indicates that many authors report nearly 50% satisfactory results with either closed or operative methods of treatment. In view of these considerations present study was taken up. Aim of Study: The aim of our study was to retrospectively analyze the result of distal tibia fractures managed with LCP plating, the effect on ankle joint function, fracture union, operative difficulties encountered and the incidence of complications in the study population.

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Hybrid external fixation in complex tibial plateau and plafond fractures: an Australian audit of outcomes

Cited by 46 publications

References 16 publications

Surgical management of distal tibia fracture by mippo using locking compression plate

Surgical management of distal tibia fracture by mippo using locking compression plate

Arthroscopically Assisted Fixation of the Tibial Plateau Fractures

Minimally invasive percutaneous plate osteosynthesis (MIPPO) in distal tibia fractures-retrospective functional and radiological outcome analysis among rural population

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