Ilizarov versus internal fixation in management of complex tibial plateau fracture. Which is better?

Fayed, Mahmoud; ElGebeily, Mohamed A.; Elkersh, M A; Eisa, M M

doi:10.1093/qjmed/hcaa059.006

Cited by 2 publications

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“…Our findings were also supported by few other studies. [20][21][22] These comparisons highlight the variations and similarities in clinical outcomes among the different studies, providing valuable insights into the effectiveness of the treatment method. Complex plateau fractures of the knee are challenging injuries that often require intricate management strategies.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Mean American Knee Society Scorefor Complex Plateau Fractures with Llizarov External Fixation

Fahad Hassan,

Abdul Qadeer Khan,

Wazir Ahmed

et al. 2023

Ann Pak Inst Med Sci

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Objective: To determine clinical outcomes based on the AKSS (American Knee Society Score) in patients with complex tibial plateau fractures treated using Ilizarov external fixation. Methodology: This descriptive case series study was conducted at the Department of Orthopaedics, Pakistan Institute of Medical Sciences (PIMS), Islamabad, from November 2020 to November 2021. The study included patients aged 20 to 55 of both genders with Schatzker type V or VI tibial plateau fractures who underwent Ilizarov external fixation and surgery within one week of the injury. Informed consent was obtained from all patients before undergoing Ilizarov external fixation. Pin tract infections were monitored weekly, and radiological assessments were performed monthly. The decision to remove the fixator was based on evidence of bone healing from two different angles, along with a successful stress test after removing the rods between the first two rings. After the fixator was removed, patients wore a removable brace for 3 to 5 weeks to protect their limbs during weight-bearing. Six weeks after external fixation, patients were assessed for pain levels, knee and ankle range of motion, limb alignment, and functional status according to the AKSS. Data were collected and analyzed using SPSS version 20. Results: The mean age of the patients was 32.4±8.7 years. Out of all the patients, 66.5% were male, and 33.5% were female. The AKSS score averaged 82.5±11.2, the mean duration of surgery was 41.5±9.3, and the mean range of motion (ROM) was 22.1±4.8. Clinical outcomes were classified as excellent in 47 (27.2%) patients, good in 57 (32.9%), while 48 (27.8%) and 21 (12.1%) had fair and poor clinical outcomes, respectively. Conclusion: The Ilizarov external fixation technique appears to be a reasonably effective method for treating complex tibial plateau fractures.

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Section: Discussionmentioning

confidence: 99%

Assessment of Mean American Knee Society Scorefor Complex Plateau Fractures with Llizarov External Fixation

Fahad Hassan,

Abdul Qadeer Khan,

Wazir Ahmed

et al. 2023

Ann Pak Inst Med Sci

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“…Plateau tibia fractures are classified by Schatzker, who divides these injuries into six types (Table 1), of which the most difficult are types V and VI injuries due to extensive bone and soft tissue damage. These injuries can be treated by various methods, such as traction, splinting, percutaneous fixation,closed reduction, internal rotation and open reduction with reinforcement plates, and the Illizarov fixation method [4,5].…”

Section: Introductionmentioning

confidence: 99%

Study to Determine the Efficacy of Illizarov Fixator for the Treatment of Complex Tibial Plateau Fractures

Afzal

Keerio

Joyo³

et al. 2021

JPRI

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Aim: To evaluate the results of illizarov external fixation using ligamentotaxis technique in high-energy plateau fractures of the tibia. Methodology: The external fixation of illizarov external fixation using ligamentotaxis was performed in 32 patients aged 18-50 years due to high-energy plateau fractures of the tibia. 18 on the right knee and 14 on the left knee. 28had closed wound and four had open wound fractures. According to the classification of Schatzker’s; classification was carried out for fractures. After two years (range 12 to 24 months) of follow-up, each affected knee was assessed using the Knee Society Score (KSS). Results: There were 24Schatzker type VI and eight type V fractures of the tibia. Complications included deep infection in two cases, one patient had pin tract infection, deep vein thrombosis in two patients and one had fusional defect. The knee motionmean range was 120 degrees of flexion and six degrees of deficiency in extension. According to the KSS criteria, the outcomes were excellent in 22 patients (68.75%), 4 patients (12.5%)have good results, moderate in 5 patients (15.65%) and weak in 1 patient (3.12%). Conclusion: Ilizarov External fixation gives good anatomicalreduction of joint surface, earlypainfreewt bear, stable fixation and maintain soft tissue envelope without major complications.

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Ilizarov versus internal fixation in management of complex tibial plateau fracture. Which is better?

Cited by 2 publications

References 0 publications

Assessment of Mean American Knee Society Scorefor Complex Plateau Fractures with Llizarov External Fixation

Assessment of Mean American Knee Society Scorefor Complex Plateau Fractures with Llizarov External Fixation

Study to Determine the Efficacy of Illizarov Fixator for the Treatment of Complex Tibial Plateau Fractures

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