Hybrid External Fixation of Comminuted Tibial Plateau Fractures

Gaudinez, Ricardo; Mallik, Arati R.; Szporn, Monroe

doi:10.1097/00003086-199607000-00032

Cited by 117 publications

(63 citation statements)

References 16 publications

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“…The mean range of movement (ROM) reported by Guadinez et al [5] was 85°and by Morandi and Pearse [17] was 113°. All patients reported by Zecher et al [24] achieved at least 90°.…”

Section: Discussionmentioning

confidence: 95%

Complex tibial plateau fractures treated with Ilizarov external fixator with or without minimal internal fixation

Barbary

Abdel-Ghani

Misbah

et al. 2005

International Orthopaedics (SICOT)

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We treated 30 tibial plateau fractures (Schatzker Type VI) in 29 patients, with a mean age of 41.4 (20-76) years, with the Ilizarov fixator. In 18 fractures, we combined the treatment with minimal internal fixation. All fractures were the result of high-energy trauma, and 20 patients had associated injuries. Twenty-eight fractures were available for follow-up after 27 (16-36) months. Using The Knee Society clinical rating system, 18 knees were rated as excellent, seven as good, one as fair, and two as poor. There was a direct correlation between the presence of associated injuries and the final outcome. The most significant concomitant injuries were distal femoral fractures and extensive soft-tissue injury. This study emphasizes the clinical success and low morbidity associated with the use of external fixation and minimal internal fixation.Résumé Nous avons traité chirurgicalement 30 fractures du plateau tibial (Type Schatzker VI) chez 29 malades-âge moyen de 41,4 ans (20-76)-avec un fixateur d'Ilizarov. Pour 18 fractures nous avons combiné le traitement avec une fixation interne légère. Toutes les fractures étaient le résultat d'un traumatisme à haute énergie et 20 patients avaient des lésions associées. Après un suivi de 27 mois (16-36) 28 fractures étaient étudiables. Avec le score de la Knee Society, 18 genoux ont été estimés comme excellents, sept comme bons, un comme moyen, et deux comme mauvais. Il y avait une corrélation directe entre la présence de blessures associées et le dernier résultat, le plus significatif étant l'existence d'une fracture fémorale distale et l'importance des lésions des parties molles. L'étude met en relief le succès clinique et la basse morbidité associés à l'usage du fixateur externe et de la fixation interne légère.

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“…The mean range of movement (ROM) reported by Guadinez et al [5] was 85°and by Morandi and Pearse [17] was 113°. All patients reported by Zecher et al [24] achieved at least 90°.…”

Section: Discussionmentioning

confidence: 95%

Complex tibial plateau fractures treated with Ilizarov external fixator with or without minimal internal fixation

Barbary

Abdel-Ghani

Misbah

et al. 2005

International Orthopaedics (SICOT)

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“…15 Gaudinez et al, encountered 4 of his 5 cases being infected after ORIF for such fractures. 16 In our study, only one patient had superficial infection which was subsided with intravenous antibiotics and regular dressings infection. As far as infection is concerned it did not alter the functional and radiological outcomes.…”

Section: Discussionmentioning

confidence: 50%

A prospective study to analyse the outcome of locking compression plating by minimally invasive percutaneous plate osteosynthesis technique in proximal tibial fractures

Reddy

Redy

2018

Int J Res Orthop

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Background: The proximal tibial fractures are one of the commonest intra articular fractures majority are of high energy fractures. We did the study to measure the outcome of locking compression plating by minimally invasive percutaeneous plate osteosynthesis technique in proximal tibial fractures.Methods: Study comprises 20 cases of proximal tibial fractures, which have been managed by MIPPO technique during the period December 2014 to August 2016.Results: The sex distribution in our study was 18 males and 2 females with 30 to 57 years age. The most common mode of injury in this study was road traffic accident. Type V Schatzker tibial plateau fractures were the commonest in 8 patients. 70% of our patients had excellent and good results in the functional outcome. In our study the average functional knee score was 22.40. The average range of movement achieved was 120 degrees. The average time taken for fracture healing was 16.52 weeks. In conclusion, MIPPO technique gives good to excellent results even in high energy tibial condyle fractures (70% cases in our study). Those who were treated with early fixation and early mobilization were found to have a better functional outcome irrespective of the fracture type. No secondary bone grafting was required.Conclusions: The study reports that MIPPO technique is an effective method of treating proximal tibial fractures due to its overall good functional outcome.

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“…Observou-se nesta amostra que existe aumento significativo na distância entre o tubérculo de Gerdy e a região posterior da fíbula (cm), após dissecção, em mé-dia, de 0,26cm (p = 0,018), o que corresponde a 8,6% (p = 0,007), conforme ilustra a Figura 3. Observou-se nesta amostra que existe diminuição significativa do ângulo entre a região posterior da fíbula e a crista tibial após dissecção, em média, de 3° (p = 0,047), que corresponde a 2,1% (p = 0,06), conforme ilustra a Figura 4. dária a osteoartrite do joelho (6,8) , tratamento das fraturas com fixadores externos (4,(9)(10)(11)(12)(13) , fasciotomias após síndro-me compartimental da perna (14)(15)(16) , biópsias percutâneas ao nível da região proximal da fíbula (5) e osteotomia da fíbula (2) . Portanto, o conhecimento da anatomia é muito importante, pois dano sobre o nervo fibular poderia trazer graves consequências funcionais (4,17,18) .…”

Section: Resultsunclassified

Comparação clínica e anatômica do nervo fibular na zona de segurança de Gerdy

Labronici¹,

Teixeira²,

Medeiros³

et al. 2010

Rev. bras. ortop.

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RESUMOObjetivo: Comparar clínica e anatomicamente os limites do nervo fibular na zona de segurança de Gerdy em cadáveres. Métodos: Foram utilizados 50 espécimes anatômicos de joelhos e medidos clinicamente (antes de dissecção) para determinar as distâncias e ângulos entre: o tubérculo de Gerdy e a região posterior da fíbula (cm), ângulo entre a linha correspondente à região posterior da fíbula e a crista tibial (graus) e o ângulo entre o tubérculo de Gerdy e crista tibial (graus). Após a dissecção das peças anatômicas, os joelhos foram novamente medidos, para determinar as distâncias e ângulos entre: o tubérculo de Gerdy e o nervo fibular (cm), ângulo entre o nervo fibular, na região posterior da fíbula e a crista tibial (graus) e o ângulo entre o tubérculo de Gerdy e crista tibial (graus). Resultados: Existe aumento significativo da distância entre o tubérculo de Gerdy e a região posterior da fíbula (cm), após dissecção, em média 0,26cm (p = 0,018), o que corresponde a 8,6% (p = 0,007) e também existe diminuição significativa do ângulo entre a região posterior da fíbula e a crista tibial após dissecção, em média de 3° (p = 0,047), que corresponde a 2,1% (p = 0,06). Conclusão: Apesar da diferença antes e depois da dissecção, a zona de segurança de Gerdy pode ser considerada segura para os procedimentos ortopédicos, na região proximal da tíbia, evitando danos ao nervo fibular e seus ramos.

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Hybrid External Fixation of Comminuted Tibial Plateau Fractures

Cited by 117 publications

References 16 publications

Complex tibial plateau fractures treated with Ilizarov external fixator with or without minimal internal fixation

Complex tibial plateau fractures treated with Ilizarov external fixator with or without minimal internal fixation

A prospective study to analyse the outcome of locking compression plating by minimally invasive percutaneous plate osteosynthesis technique in proximal tibial fractures

Comparação clínica e anatômica do nervo fibular na zona de segurança de Gerdy

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