• Users Online: 100
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2019  |  Volume : 54  |  Issue : 1  |  Page : 72-78

Management of open complex tibial plateau fractures by Ilizarov fixator: average follow-up of 8.5 years


Department of Orthopaedic Surgery, Benha Faculty of Medicine, Farid Nada Street, Kalyubia, Benha, Egypt

Correspondence Address:
MD Abdel-Salam A Ahmed
Department of Orthopaedic Surgery, Benha Faculty of Medicine, Farid Nada Street, Kalyubia, Benha 13518
Egypt
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/eoj.eoj_5_19

Rights and Permissions

Introduction Open tibial plateau fractures are associated with significant soft tissue injuries which increase the risks of complications and their management is highly challenging. Ilizarov external circular fixation is an ideal method of treatment when extensive soft tissue dissection and internal fixation are contraindicated. This retrospective study aimed to evaluate the mid-term results of managing open complex tibial plateau fractures with Ilizarov fixator. Patients and methods The study included 27 patients with open tibial plateau fractures (Schatzker types V and VI) with a mean age of 40.56 years. They included 17 men and 10 women. Sixteen fractures were of open type III-A and 11 were type III-B according to the Gustilo classification. Seven cases had associated injuries. Five patients had previous temporary spanning external fixation. Three patients were diabetics. Above knee frame extension was done in 14 cases. Assisted wound closure by the frame was done in three cases. Results All fractures were fully united with a mean fixator period of 18.37 weeks. The average follow-up duration was 8.52 years. No patient developed a deep infection. According to the ASAMI score, the results were evaluated as excellent in nine patients, good in 14 patients, and fair in four patients. The overall result was judged as satisfactory by all patients. Conclusion The treatment of complex tibial plateau fractures with the Ilizarov fixator is a safe, versatile, and an effective treatment option, and produces good functional results. It also allows early full weight-bearing and good rehabilitation.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed87    
    Printed6    
    Emailed0    
    PDF Downloaded20    
    Comments [Add]    

Recommend this journal