Treatment of Displaced Bicondylar Tibial Plateau Fractures (OTA-41C2&amp;3) in Patients Older Than 60 Years of Age

Ali, Ahmad M.; Burton, Maria; Hashmi, Munawar; Saleh, Michael

doi:10.1097/00005131-200305000-00005

Cited by 46 publications

(31 citation statements)

References 43 publications

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“…28,29 This led to unwanted motion and the fracture site with resultant loss of reduction, non-union and increased pin-site infection rates. [30][31][32][33][34] Conventional circular external fixation, however, has recently emerged as a viable treatment alternative for bicondylar plateau fractures. 8 These fixators use beam loading through the entire span of the fixator that results in symmetrical loading of the fracture site.…”

Section: Discussionmentioning

confidence: 99%

Circular external fixation in the management of tibial plateau fractures in patients over the age of 55 years

Marais

Ferreira

2018

SA orthop. j.

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Introduction: Tibial plateau fractures in the elderly pose significant treatment challenges because of coexisting medical problems, pre-existing degenerative joint disease and osteoporosis. While several studies have reported promising results with the use of circular external fixation, little data is available on its use in older patients. This study aims to compare the complications and union rate of circular external fixation in patients over the age of 55 years with that achieved in younger patients.

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Section: Discussionmentioning

confidence: 99%

Circular external fixation in the management of tibial plateau fractures in patients over the age of 55 years

Marais

Ferreira

2018

SA orthop. j.

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“…29 A number of recent studies have indicated that satisfactory results can be achieved with Ilizarov fixation. [30][31][32] Ilizarov fixation devices preserve soft tissues and an emerging body of evidence suggests they can achieve lower rates of deep infection. 33,34 It is also associated with less stiffness of the joint and no second operative procedures (for implant removal) are required after wards.…”

Section: Discussionmentioning

confidence: 99%

Revisiting the Safe Fixation in High Grade Schatzker With Soft Tissue Injury

Bora¹,

Baruah²,

Bidyananda³

2018

jebmh

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BACKGROUNDDisplaced bicondylar tibial platue fractures (Schatzker V and VI) are otherwise known as high grade Schatzker type tibial platue fractures. They are always associated with soft tissue injury which possess a challenge for orthopaedic surgeons due to higher rate of post-operative infections, skin necrosis and wound dehiscence. Circular external fixator is a good option. However, delayed ORIF reduces the chance of infection & maintains articular congruity resulting in better functional outcome.

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“…External fixation systems using beam-loading mechanisms like the Sheffield ring fixator have been reported for patients older than 60 years. This was associated with a higher rate of pin tract infections and valgus malunion requiring further operations [1]. Extension of unicondylar or total knee replacement as a treatment for patients with osteopenic bone and pre-existing arthritis will necessitate the use of modular or custom-made prosthesis and wedges, augmentations, bone graft or substitutes to fill the defect [22].…”

Section: Discussionmentioning

confidence: 99%

Bovine cancellous xenograft in the treatment of tibial plateau fractures in elderly patients

Bansal

Bhagat

Shukla

2008

International Orthopaedics (SICOT)

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The objective was to evaluate the efficacy of xenografts to improve the outcomes in elderly patients with tibial plateau fractures. Nineteen cases with a mean age of 74 years were followed prospectively from 1998 to 2003. Six patients each belonged to Schatzker types III, IV and V and one patient belonged to type II. Open reduction with fixation and xenograft impaction was carried out. Clinical and radiological union was assessed including infection rate, incorporation of the xenograft and average collapse of the fracture. The average union time was 20 weeks. No patient had wound infection and all had excellent incorporation of the xenograft with union. The average collapse was 4 mm on follow-up. This series shows the use of only an xenograft in acute fixation of these fractures with favourable outcome. Furthermore, it reduces operative time, bleeding and associated co-morbidities, which is of more significance in an elderly age group.

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Treatment of Displaced Bicondylar Tibial Plateau Fractures (OTA-41C2&3) in Patients Older Than 60 Years of Age

Abstract: All-ring external fixation, as a beam-loading system applied in a neutralizing mode, is a safe, stable, and reliable technique for the treatment of displaced bicondylar tibial plateau fractures in elderly patients.

Cited by 46 publications

References 43 publications

Circular external fixation in the management of tibial plateau fractures in patients over the age of 55 years

Circular external fixation in the management of tibial plateau fractures in patients over the age of 55 years

Revisiting the Safe Fixation in High Grade Schatzker With Soft Tissue Injury

Bovine cancellous xenograft in the treatment of tibial plateau fractures in elderly patients

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