Ilizarov Ring External Fixation for Complex Tibial Plateau Fractures

Ghimire, Anil; Devkota, Pramod; Bhandari, Kailash Kumar; Kharel, Yubaraj; Pradhan, Saju

doi:10.1055/s-0041-1739171

Acessibilidade / Reportar erro

Brasil

Revista Brasileira de Ortopedia

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Original Article • Rev. bras. ortop. 57 (04) • Jul-Aug 2022 • https://doi.org/10.1055/s-0041-1739171 copy

Ilizarov Ring External Fixation for Complex Tibial Plateau Fractures

Authorship SCIMAGO INSTITUTIONS RANKINGS

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.

Keywords
Ilizarov technique; external fixator; tibial fracture; Schatzker classification

Case Number	Age	Gender	Cause of injury	Schatzker classification	Open Type	Fixator time in weeks	Knee ROM		American knee society score
Case Number	Age	Gender	Cause of injury	Schatzker classification	Open Type	Fixator time in weeks	Flexion	Extension lag	American knee society score
1	41	M	RTA	VI	Close	12	100	-5	85
2	45	M	RTA	VI	Close	16	115	0	88
3	32	F	RTA	V	Close	14	125	-10	89
4	60	F	Fall	VI	II	17	130	0	87
5	51	M	RTA	VI	Close	12	125	-5	90
6	40	M	Fall	VI	Close	14	125	-5	86
7	24	M	Fall	V	III A	14	120	-5	92
8	22	M	RTA	VI	Close	15	100	-5	86
9	32	M	RTA	VI	III A	18	125	-5	87
10	61	M	RTA	VI	II	13	100	-5	88
11	24	F	Fall	VI	III B	20	100	-10	89
12	33	M	RTA	V	I	14	120	0	94
13	44	M	RTA	VI	I	14	120	-5	84
14	32	M	Fall	V	Close	12	120	0	88
15	32	M	Fall	VI	Close	12	125	-5	87
16	32	M	RTA	V	III B	14	100	0	85
17	37	M	Fall	VI	III A	18	105	-5	89
18	26	M	Fall	V	Close	16	90	-5	86
19	32	M	Fall	V	Close	14	120	-10	87
20	26	M	RTA	VI	II	13	105	0	93
21	50	M	Fall	V	Close	13	125	-10	91
22	33	M	RTA	VI	II	17	125	-5	90
23	45	M	RTA	VI	III A	15	100	-5	87
24	65	F	Fall	VI	II	14	120	0	89
25	27	M	Direct Trauma	V	Close	20	125	-15	88
26	32	F	Direct Trauma	V	Close	16	100	-10	89
27	60	F	Direct Trauma	V	II	18	115	0	85
28	51	F	RTA	VI	Close	14	90	-5	85
29	40	F	RTA	V	Close	13	125	-10	75
30	24	F	Fall	VI	III B	12	90	5	77
31	22	F	RTA	V	Close	15	100	-15	78
32	32	F	RTA	V	II	16	120	5	79
33	61	F	Fall	VI	Close	17	110	-10	80
34	24	F	RTA	VI	I	19	125	0	81
35	33	F	RTA	V	Close	12	90	-15	82
36	44	M	RTA	VI	Close	14	120	-5	83
37	32	M	Fall	V	I	13	110	-5	82
38	32	M	RTA	V	II	16	115	-5	77
39	32	M	RTA	V	II	14	90	-10	76
40	37	M	Fall	VI	III A	17	90	-10	75
41	62	M	RTA	VI	Close	19	100	-5	78
42	32	M	RTA	VI	I	18	100	-5	79
43	26	M	Fall	V	Close	14	115	-5	83
44	50	M	RTA	VI	Close	13	125	0	60
45	33	M	RTA	VI	Close	15	100	-10	65
46	45	M	RTA	VI	II	16	125	-5	66
47	65	M	Direct Trauma	V	Close	18	100	-10	67
48	26	F	RTA	VI	Close	12	100	-10	70
49	50	M	RTA	VI	Close	15	125	0	72
50	33	F	RTA	VI	III A	17	85	-15	73
51	45	M	RTA	V	Close	13	100	-10	66
52	65	M	RTA	VI	Close	18	90	-15	58

Sociedade Brasileira de Ortopedia e Traumatologia Al. Lorena, 427 14º andar, 01424-000 São Paulo - SP - Brasil, Tel.: 55 11 2137-5400 - São Paulo - SP - Brazil
E-mail: rbo@sbot.org.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Address for correspondence Pramod Devkota, MBBS MS (Ortho), Department of Orthopaedics and Trauma Surgery, Patan Academy of Health Sciences School of Medicine, Lalitpur, Nepal (e-mail: devkotap@gmail.com).