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DOI: 10.1055/s-0041-1739171
Ilizarov Ring External Fixation for Complex Tibial Plateau Fractures
Article in several languages: português | English
Abstract
Objective To analyze the results of clinical, radiological, and functional outcomes of tibial plateau fracture (Schatzker Type V, VI) treated with Illizarov ring external fixator with or without minimum opening.
Methods A total of 52 tibial plateau fractures of type V, VI were treated with Ilizarov ring external fixator with or without mininum internal fixation were studied. Functional outcome assessment was done using the American Knee Society (AKS) score with clinical, radiological union, and complications were analyzed.
Results There were 37 (71.15%) male and 15 (28.84%) female patients, with a mean age of 39.07 ± 12.58 years old. Road traffic accidents (RTAs) were the major cause of fracture, accounting for 32 cases (61.53%) followed by fall injury, with 16 cases (30.76%), and direct impact, with 4 cases (7.69%). Twenty-one (40.38%) cases were type V and 31 (59.61%) cases were type VI fractures, and there were 24 (46.15%) cases of open fracture. The mean AKS score of Type V and Type VI fractures were 82.8 and 80.70, respectively, but this was statistically not significant at p<0.05. The mean AKS score of closed and open fractures were also statistically not significant at p<0.05.
Conclusions For Schatzker Types V and VI complex tibial plateau fractures, Ilizarov external fixation is a safe, cost-effective and efficient treatment method that presents a satisfactory outcome.
Contributions of the Authors
Ghimire A., Devkota P. and Bhandari K. K. contributed equally to the conception and design of the work. Ghimire A. collected the data and Devkota P. and Bhandari K. K. participated on the analysis and interpretation of the data, and drafting of the manuscript for important intellectual content, and agree to be accountable for all aspects of the work related to its accuracy and integrity. Kharel Y. and Pradhan S. contributed to the conception and design of the work and the acquisition, analysis, and interpretation of the data. All authors read and approved the final manuscript.
Work developed at the Department of Orthopaedics and Trauma Surgery, Nepal Orthopaedic Hospital, Jorpati, Kathmandu, Nepal.
Publication History
Received: 06 September 2020
Accepted: 25 June 2021
Article published online:
11 November 2021
© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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