The Less Invasive Stabilization System in the Treatment of Complex Fractures of the Tibial Plateau: Short-term Results

Stannard, James P.; Wilson, Timothy C.; Volgas, David A.; Alonso, Jorge E.

doi:10.1097/00005131-200409000-00012

Cited by 128 publications

(102 citation statements)

References 26 publications

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“…It was treated with irrigation and debridement followed by antibiotic therapy and infection resolved with four weeks" of antibiotic treatment. These finding are supported by studies by Egol et al [12] with no reported infection, Stannard et al with a 5.9% rate of infection 14 , Cole et al with an infection rate of 4% [13] . Ryan et al with an infection rate of 7% in locking group and 13% in external fixator group [8] and Lee et al with deep infection of 8% [6] .…”

Section: Discussionsupporting

confidence: 59%

“…(range 30-150 deg). Stannard JP et al [14] in their similar study measured average range of motion of 127 deg. (range 90-145deg) [14] .…”

Section: Discussionmentioning

confidence: 86%

“…Stannard JP et al [14] in their similar study measured average range of motion of 127 deg. (range 90-145deg) [14] . Lee JA et al in their similar study found overall range of motion averaged 105 degree (range 0-135 deg) [6] .…”

Section: Discussionmentioning

confidence: 86%

See 2 more Smart Citations

Efficacy of distal femoral locking plate in treatment of distal femoral fractures

Arora¹,

Singh²,

Chaudhary³

et al. 2017

Int. J. Orthop. Sci.

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Aim: To evaluate the efficacy of distal femoral locking plate in treatment of distal femoral fractures. Background: Distal femur fractures are one of the common fractures and constitute 1.6% of all fractures. Different treatment modalities with varying outcomes are seen in literature in the management of these fractures. Materials & methods:The study was conducted in the department of orthopaedics at tertiary Institute of Punjab. Patients treated for distal femur fractures with ORIF using distal femoral locking compression plates were evaluated to assess their clinical and functional outcome and compared with the available literature. Results: The mean time for union was less than 26 wks. Conclusion: Surgery in the form of ORIF with distal femoral locking compression plate for Distal femur fracture is a comparatively good treatment option for better out come and early mobilization with minimum complications. Keywords: Distal femur, locking plate IntroductionFractures of distal one third of femur supposedly are less than 1% of total fractures and stuck between 4%-6% of all femoral fractures. Supra condylar femoral fractures universally have bimodal distribution, younger generation caught up in high-energy trauma (including vehicular and motor-bike accidents and sports injuries) and senior citizens, often osteopenic or osteoporotic, sustaining trivial low-energy fall at home and ending up with femoral fractures [1] . Intra-articular fractures of distal femur present a tight spot to the orthopaedicians as these are easier said than done. Surgical management is usually prudent & carried out most of the times to have an advantageous end result because these are often comminuted and have their extension into the joint [2] . As orthopedic surgery has improvised over the years, methods in handling of supracondylar and intercondylar (intra articular) femur fractures now by and large engross varied surgical techniques. The aim of surgical management are to have a anatomical or near anatomical reconstruction of the articular surfaces and also to have reduction of the metaphyseal component to the diaphyseal one, restitution of normal axial alignment, length and rotation, in the last but not the least a stable internal fixation followed by early mobilisation and functional rehabilitation of the limb [3] . Internal fixation devices that used in the past and present to treat these fractures comprise of 95° angled blade plate, dynamic condylar screw plate (DCS), condylar buttress plate and retrograde supracondylar inter-locking nail. As the intricacy of these fractures has altered from simple extraarticular supracondylar types to intraarticular (inter condylar) and metaphyseal comminuted types, implants used till now may not meet the requirements. Double plating, and/or of late, locked plating (LP) technique have been advocated. But in double plating, there is often extensive soft tissue stripping on both medial & lateral sides of the femur, resulting in decreased blood supply and impending non-union and/or failure of t...

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Section: Discussionsupporting

confidence: 59%

“…(range 30-150 deg). Stannard JP et al [14] in their similar study measured average range of motion of 127 deg. (range 90-145deg) [14] .…”

Section: Discussionmentioning

confidence: 86%

See 1 more Smart Citation

Efficacy of distal femoral locking plate in treatment of distal femoral fractures

Arora¹,

Singh²,

Chaudhary³

et al. 2017

Int. J. Orthop. Sci.

View full text Add to dashboard Cite

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“…14 The introduction of locking plates and minimally invasive approach has decreased the complication rate by many folds but still the optimal management of these fractures remains controversial. 15 A recent study suggested that the use of external fixator in treatment of tibial plateau fractures lead to fewer complications and early mobilization as compared to internal fixation. 16 However, an earlier study reported that the use of a hybrid external fixator also causes infection around the pin site and may lead to septic arthritis of knee joint.…”

Section: Discussionmentioning

confidence: 99%

Functional outcome of Schatzker type V and VI tibial plateau fractures managed with open reduction internal fixation using dual plates

et al. 2017

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INTRODUCTIONSurgical treatment of high-energy tibial plateau fractures remains a challenge due to problems encountered which include wound complications, infection, varus collapse, knee stiffness, and articular malreductions.1-3 High energy tibial fractures usually affect the younger age group in productive life years and have significant socioeconomic impact due to late recovery time and subsequent requirement of early total knee replacement in some complicated cases. 4 Schatzker classified fractures of tibial plateau radiologically from type I to VI.5 Schatzker type V and VI fractures are high-energy fractures often accompanied by other injuries and complications. The complexity of the fracture pattern and the associated soft tissue disruption of these types of fractures contribute to high rate of failure and unsatisfactory results which follow both operative and non-operative management.6,7Several fixation methods could be used for tibial plateau fractures including unilateral fixation with a single plate, dual-plate, a hybrid external fixator or a less invasive stabilizing system. [8][9][10] There is a considerable debate regarding the best method for treating proximal tibia fractures and there is no clear consensus on which leads ABSTRACT Background: Complex tibial plateau fractures remain a challenge to even the most experienced surgeons. These injuries usually affect the young population in their productive years thereby causing socioeconomic impact. We performed a retrospective study to evaluate the functional outcome of of Schatzker type V and VI managed through open reduction and internal fixation. Methods: 26 patients with Schatzker type V and type VI tibial plateau fractures treated with open reduction and internal fixation using plates were included in the study. Three patients were lost to follow up, 23 patients were evaluated in the final analysis. The preoperative, intraoperative data was noted from the indoor files.The final evaluation was done using Oxford knee score and VAS score. Results: There were nine Schatzker type V fractures and 14 patients with Schatzker type VI fractures. The mean duration of follow-up was 68.32 months ranging from 41 months to 126 months. The mean Oxford knee score was 39.78. Patients with Schatzker type VI had mean OKS of 37.7.The mean MPTA and mean PPTA were 88.75 degrees and 7.35 degrees respectively. Average VAS Score was 2.8 ranging from 1 to 3.9. All patients returned to their preinjury level of activity and employment. There were no patients of deep infection. Conclusions:We conclude that open reduction and internal fixation of high-energy tibial plateau fractures gives excellent to good functional outcome with minimal soft tissue complications. The complications can be minimized with proper patient selection and soft tissue dissection.

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“…From 6% to 28% of operatively treated tibial plateau fractures reportedly have infection develop [10,13]. However, there has been no published discussion regarding the outcomes of patients with infected tibial plateau fractures who subsequently require TKA as a result of posttraumatic arthritis.…”

Section: Introductionmentioning

confidence: 99%

Does Prior Infection Alter the Outcome of TKA After Tibial Plateau Fracture?

Larson¹,

Hanssen²,

Cass

2009

Clinical Orthopaedics &Amp; Related Research

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Total knee arthroplasty performed after tibial plateau fracture has a known high rate of complications. We hypothesized TKAs performed after infected tibial plateau fractures would have an even higher complication rate when compared with noninfected tibial plateau fractures. In a matched case-control study, we retrospectively reviewed 19 patients who underwent primary TKAs after infected tibial plateau fractures between 1971 and 2005. The mean time from the most recent infection to arthroplasty was 5.6 years. The minimum clinical followup after TKA was 2 years (mean, 6.4 years; range, 2-15

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The Less Invasive Stabilization System in the Treatment of Complex Fractures of the Tibial Plateau: Short-term Results

Abstract: The use of LISS plates appears to stabilize complex fractures of the tibial plateau with a low incidence of complications. The LISS system functioned well in maintaining alignment and obtaining union in these high-energy fractures.

Cited by 128 publications

References 26 publications

Efficacy of distal femoral locking plate in treatment of distal femoral fractures

Efficacy of distal femoral locking plate in treatment of distal femoral fractures

Functional outcome of Schatzker type V and VI tibial plateau fractures managed with open reduction internal fixation using dual plates

Does Prior Infection Alter the Outcome of TKA After Tibial Plateau Fracture?

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