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Cannulated screw and hexapodal fixator reconstruction for compound upper tibial fractures

Objectives:

The aim of the treatment of tibial plateau fractures is to obtain a pain-free and fully functional knee with closed reduction, percutaneous cannulated screw fixation and hexapodal external fixator reconstruction for high energy compound upper tibial fractures.

Methods:

Patients with comminuted tibial plateau fractures underwent closed reduction, percutaneous fixation with cannulated screws, and reconstruction with hexapodal external fixator. The follow-up period was 24 months.

Results:

The clinical and radiological results were good or excellent. The average knee flexion was 125°.

Conclusion:

Our results are successful in the initial stage, however, it should be pointed out that during the long term follow-up osteoarthritis may develop leading to worsening of the condition. Level of Evidence IV, Case Series.

Knee injuries/sugery; External fixators; Tibial fractures; Intra-articular fractures


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