Treatment of Complex Proximal Tibial Fractures (Types V &amp;amp; VI of Schautzker Classification) by Double Plate Fixation with Single Anterior Incision

Hassankhani, Ebrahim Ghayem; Omidi-Kashani, Farzad; Hassankhani, Golnaz Ghayem

doi:10.4236/ojo.2013.34038

Cited by 13 publications

(14 citation statements)

References 28 publications

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“…Zhang et al in his study had 89.9% cases sustaining injury by RTA and Prasad et al had all cases (100%) due to RTA. 5,6 Male predominance is also supported by studies done by Eggli et al and Ghayem et al 7,8 In present study injury to right limb (57.6%) was more common than the left (42.3%) limb. Type 5 Schatzker fracture were less commonly encountered than the type 6 fractures.…”

Section: Discussionsupporting

confidence: 83%

Clinico-radiological and functional outcomes of bicolumnar plating in schatzker type 5 and type 6 fractures of proximal tibia in tertiary care hospital in North India: a series of 26 patients

Singh

et al. 2021

Int J Res Orthop

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Background: Ideal mode of treatment is always debatable for Schatzker type 5 and type 6 fractures in proximal tibia. The aim of the study was management in tibial plateau fracture are to obtain anatomic reduction of the articular surface, restoration of axial alignment, and achieve stable fixation which can be done by open reduction and internal fixation (ORIF) using bicolumnar plating.Methods: 26 patients with Schatzker type 5 and type 6 fractures were managed by bicolumnar plating. They were followed up to six months in terms of radiological union, functional outcomes and complications. Functional outcome at the end of follow up was assessed using knee society scoring system.Results: Good to excellent results were obtained in almost all the patients using knee society scoring system, mean knee ROM achieved was 114.5 degree. Average time to achieve radiological union was 14.4 weeks. These results were in comparison with the studies done earlier.Conclusions: Bicolumnar plating is an effective method of treatment of Schatzker type 5 and type 6 fractures and provide excellent result in expert hands. Rehabilitation using early CPM (continuous passive movement) is very effective in reducing the post-operative complications like knee stiffness.

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Section: Discussionsupporting

confidence: 83%

Clinico-radiological and functional outcomes of bicolumnar plating in schatzker type 5 and type 6 fractures of proximal tibia in tertiary care hospital in North India: a series of 26 patients

Singh

et al. 2021

Int J Res Orthop

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“…In a study conducted by Kye-Youl Cho 11 et al using single midline approach, only one patient had delayed wound healing. Ebrahim et al 12 stated that none of the patients developed wound complications following single midline incision in 22 patients in his study. In our study, one patient had wound necrosis.…”

Section: Discussionmentioning

confidence: 77%

Treatment of Complex Tibial Fractures Types v and Vi of Schatzker Classification by Double Plate Fixation With Single Anterior Incision

Kumar¹,

M.N²

2018

jemds

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BACKGROUNDHigh velocity injuries of knee joint are always associated with complex proximal tibial fractures, Schatzker classification type V and VI and these fractures are always associated with high complication rates. There are various treatment modalities available for these fractures. Aims and Objectives-To analyse the results of double plating with single anterior incision in complex proximal tibial fractures (Types V and VI of Schatzker classification).

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“…Fractures around the knee joint is of paramount important as these fractures if not properly treated would result in severe morbidity that would invariably affect the quality of life. Tibial condyle fracture resulting from high energy mechanism and those fractures that separates the tibial metaphysis from diaphysis are usually associated with comminuted fractures with extended soft tissue injury resulting in severe complications [13] . Conservative treatment for these types of fractures did not show a satisfactory outcome as quoted in few of the studies done on management techniques for tibial condyle fractures.…”

Section: Discussionmentioning

confidence: 99%

A study on functional outcome of osteosynthesis for fracture proximal tibia

Kandasamy¹,

Kandasamy²,

Shankar³

2020

Int. J. Orthop. Sci.

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Background: The ultimate objective in the management of tibial plateau fracture is to ensure anatomic reduction, restore the axial alignment and maintain a stable fixation such a way to prevent the secondary displacement of fracture fragment. The various type of managing the tibial plateau fractures apart from conservative management are open reduction and internal fixation, closed reduction and percutaneous fixation and hybrid type of external fixation. Aim: To evaluate the functional outcome of osteosynthesis of tibial plateau fractures using different surgical techniques after a minimum period of 6 months by using Rasmussen scoring system. Methodology: All patients with proximal tibial fracture in the age group between 20 and 60 years were included as our study subjects. A total of 38 patients were taken as our study subjects. The tibial fractures were classified based on schatzker type of fracture classification. Fracture reduction was done under Carm guidance by closed methods using ligamentotaxis. After confirming the reduction under C-arm guidance fixation of the fracture was done with locking plate. Functional outcome assessment of knee joint was done after six months post-operatively by using Rasmuseen score, which includes pain perception, walking capacity, extension at knee joint, range of movements and stability. Results: Majority of the patients who had undergone closed reduction with cancellous screw procedure or open reduction and internal fixation with buttress plate and bone graft had the functional outcome between excellent and good whereas patients who had underwent dual plating had a fair to poor outcome and this difference was found to be statistically significant. Pain and knee stiffness were reported in very few patients at the end of 6 months. Conclusion:In the management of tibial plateau fractures, open reduction with internal fixation using plate screws with lesser soft tissue dissection would lead to excellent functional outcome.

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Treatment of Complex Proximal Tibial Fractures (Types V & VI of Schautzker Classification) by Double Plate Fixation with Single Anterior Incision

Cited by 13 publications

References 28 publications

Clinico-radiological and functional outcomes of bicolumnar plating in schatzker type 5 and type 6 fractures of proximal tibia in tertiary care hospital in North India: a series of 26 patients

Clinico-radiological and functional outcomes of bicolumnar plating in schatzker type 5 and type 6 fractures of proximal tibia in tertiary care hospital in North India: a series of 26 patients

Treatment of Complex Tibial Fractures Types v and Vi of Schatzker Classification by Double Plate Fixation With Single Anterior Incision

A study on functional outcome of osteosynthesis for fracture proximal tibia

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