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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2022; 57(04): 667-674
DOI: 10.1055/s-0041-1739171
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Ilizarov Ring External Fixation for Complex Tibial Plateau Fractures

Article in several languages: português | English
Anil Ghimire 
1   Hospital Ortopédico do Nepal, Jorpati, Kathmandu 44601, Nepal and Patan Academy of Health Sciences, Patan Hospital, Lalitpur 44700 Nepal
,
Pramod Devkota 
2   Departamento de Ortopedia e Cirurgia de Trauma, Patan Hospital, Academia Patan de Ciências da Saúde, Lalitpur, Kathmandu, Nepal
,
Kailash Kumar Bhandari 
1   Hospital Ortopédico do Nepal, Jorpati, Kathmandu 44601, Nepal and Patan Academy of Health Sciences, Patan Hospital, Lalitpur 44700 Nepal
,
Yubaraj Kharel 
1   Hospital Ortopédico do Nepal, Jorpati, Kathmandu 44601, Nepal and Patan Academy of Health Sciences, Patan Hospital, Lalitpur 44700 Nepal
,
Saju Pradhan 
1   Hospital Ortopédico do Nepal, Jorpati, Kathmandu 44601, Nepal and Patan Academy of Health Sciences, Patan Hospital, Lalitpur 44700 Nepal
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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

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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