Primary Total knee Arthroplasty: A Viable Surgical Option for Complex Tibial Plateau Fractures in Elderly

Abdelbadie, Ahmed; El-Hennawy, Ayman; Sallam, Asser

doi:10.1055/s-0039-1679921

Cited by 11 publications

(14 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Pasurka et al reported that patients with primary TKR achieved independent mobility earlier than patients treated with ORIF [29]. In both studies, complication and reoperation rates were also lower in the primary TKR group [29,36].…”

Section: Discussionmentioning

confidence: 90%

“…months)[12,16,[21][22][23][24][25][26][27][34][35][36][37]. Studies using the AO classification identified seven A-type (1%), 70 B-type (65%) and 31 C-type (39%) tibia fractures in a total of 108 patients[21, 23, 25-27, 29, 34, 37].…”

mentioning

confidence: 99%

“…Studies using the AO classification identified seven A-type (1%), 70 B-type (65%) and 31 C-type (39%) tibia fractures in a total of 108 patients[21, 23, 25-27, 29, 34, 37]. The six series using Schatzker's tibia fracture classification[12,22,24,35,36,38] identified 28 II-type (39%), 15 III-type (21%), 14 IV-type (20%), 11 V-type (15%), and three VI-type (4%) fractures in 71 patients. The OKS score was 29.5 and 35.7 points in 24 patients [24, 35].…”

mentioning

confidence: 99%

See 2 more Smart Citations

Primary total knee replacement for tibial plateau fractures in older patients: a systematic review of 197 patients

Tapper

Toom

Pamilo

et al. 2021

Arch Orthop Trauma Surg

View full text Add to dashboard Cite

Introduction Tibial plateau fractures are typically treated with osteosynthesis. In older patients, osteosynthesis is associated with some complications, risk of post-traumatic osteoarthritis and long partial, or non-weight bearing during the recovery phase. To avoid these problems, primary total knee replacement (TKR) has become an increasingly common treatment option. The aim of this study was to evaluate all the relevant literature and summarize the current evidence-based knowledge on the treatment of tibial plateau fractures with primary TKR in older patients. Materials and methods A systematic literature search of studies on total knee replacement (TKR) as primary treatment for acute traumatic tibial plateau fracture was conducted using OVID Medline, Scopus, and Cochrane databases from 1946 to 18 November 2019. We included all studies without restrictions regarding total knee replacement (TKR) as primary treatment for acute traumatic tibial plateau fracture. Results Of the 640 reviewed articles, 16 studies with a total of 197 patients met the inclusion criteria. No controlled trials were available, and the overall quality of the literature was low. The results, using different clinical scoring systems, were good or fair. Four-year follow-up complication (6.1%) and revision (3.6%) rates after primary TKR appeared to be lower than after secondary TKR (complication rate 20–48%, revision rate 8–20%) but higher than after elective primary TKR. Conclusion Based on low-quality evidence, TKR appears to be a useful treatment option for tibial plateau fractures in older patients. Controlled trials are mandatory to determine the relative superiority of these two options as primary treatment of tibial plateau fractures in older patients.

show abstract

Section: Discussionmentioning

confidence: 90%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Primary total knee replacement for tibial plateau fractures in older patients: a systematic review of 197 patients

Tapper

Toom

Pamilo

et al. 2021

Arch Orthop Trauma Surg

View full text Add to dashboard Cite

show abstract

“…Plateau tibia fractures are high-energy injuries that can cause poor functional outcomes if not properly treated [9,10]. There are several ways to treat these fractures, including traction and cast braces, external fixation extending across the knee, percutaneous fixation and restricted open reduction, internal fixation and open reduction, and indirect reduction and stabilization with hybrid or circular external fixation devices [11,12].…”

Section: Discussionmentioning

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

View full text Add to dashboard Cite

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.

show abstract

“…Furthermore, faster discharge from the hospital can help to limit the disorientation often observed in this elderly population. 6 – 17 The goal of this literature review is to give an overview of current indications, treatment strategies, surgical pitfalls, post-operative management and results to be expected.…”

Section: Introductionmentioning

confidence: 99%

Knee arthroplasty for acute fractures around the knee

et al. 2020

View full text Add to dashboard Cite

Results of open reduction and internal fixation for complex articular fractures around the knee are poor, particularly in elderly osteoporotic patients. Open reduction and internal fixation may lead to an extended hospital stay and non-weight-bearing period. This may lead to occurrence of complications related to decubitus such as thrombo-embolic events, pneumonia and disorientation. Primary arthroplasty can be a valuable option in a case-based and patient-specific approach. It may reduce the number of procedures and allow early full weight-bearing, avoiding the above-mentioned complications. There are four main indications: 1) Elderly (osteoporotic) patients with pre-existing (symptomatic) end-stage osteoarthritis. 2) Elderly (osteoporotic) patients with severe articular and metaphyseal destruction. 3) Pathological fractures of the distal femur and/or tibia. 4) Young patients with complete destruction of the distal femur and/or tibia. The principles of knee (revision) arthroplasty should be applied; choice of implant and level of constraint should be considered depending on the type of fracture and involvement of stabilizing ligaments. The aim of treatment is to obtain a stable and functional joint. Long-term data remain scarce in the literature due to limited indications. Cite this article: EFORT Open Rev 2020;5:713-723. DOI: 10.1302/2058-5241.5.190059

show abstract

Primary Total knee Arthroplasty: A Viable Surgical Option for Complex Tibial Plateau Fractures in Elderly

Cited by 11 publications

References 45 publications

Primary total knee replacement for tibial plateau fractures in older patients: a systematic review of 197 patients

Primary total knee replacement for tibial plateau fractures in older patients: a systematic review of 197 patients

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

Knee arthroplasty for acute fractures around the knee

Contact Info

Product

Resources

About