Ilizarov Fixation Method of Tibia Plateau Fractures: A Prospective Observational Study

Abstract

Background: Tibia plateau fractures are most commonly managed with open reduction and internal fixation (ORIF) technique, external fixation via minimally invasive technique are an excellent alternative. The aim of this study was to assess the results of tibia plateau fractures by using the Ilizarov external fixator. The analysis was done both clinically and radiologically. Methodology: Some 72 patients with isolated tibia plateau fractures were brought to ED and clinics and assessed. The fractures were classified according to Schatzker Tibia Plateau Fracture classification, only Schatzker type III to VI were included using conventional X-rays. All patients for their tibia plateau fractures underwent surgical correction using Ilizarov technique with full weight bearing and knee range of motion allowed the next day. Patient follow-up up to one year was done. KOOS and self-appraisal were used to evaluate the knee pain and function. Results: All the fractures healed with 67 patients achieving a range of motion better than 0-100º. KOOS score shows that patients who had worse fracture patterns (Schatzker-V and VI) have worse global scores (p=0.002); still when managed with an Ilizarov it has been seen that these patients are able to maintain a moderately pain free knee (p=0.013) other aspects of the KOOS. Patients with higher BMI showed to have worsening fracture patterns with 20 out of the 30 overweight patients suffering Schatzker-V (66.67%). We experienced an extremely low rate of pin tract infections with only two debridements required. Conclusion: Ilizarov external fixation method is a valuable alternative treatment with excellent clinical outcomes and early mobilization.

Locking plate versus circular external fixator as a definitive external fixator in the treatment of open distal tibia fractures: a retrospective study

“…Group I was signi cantly better than the external xator (Group II) (P < 0.05). Considering that the annular external xator mostly used full needle penetration, it was easy to cause tendon friction and high irritation; because of pain and other discomforts, it is also easy to reduce the range of motion of the ankle joint [40]. At the same time, patients in group I have signi cant advantages in self-perception.…”

What’s New and Relevant in Proximal Tibia Fractures?

“…The Ilizarov method[Fig. 12] employs a minimally invasive strategy, necessitating multiple small stab incisions that mitigate soft-tissue damage and blood loss, compared to other operative techniques which left prominent scars [21]. Beyond its cosmetic benefits, this approach yields mechanical advantages, ensuring increased stability and facilitating precise alignment through adjustable measures during and after surgery.…”

Functional outcomes and quality of life after surgically treated tibial plateau fractures

“…With an incidence rate of 10.3 per 100,000 people annually and 1% of all fractures, TPF is not uncommon [ 1 – 5 ]. TPF usually occurs in young patients and after high-energy traumas [ 6 , 7 ].…”

“…These fractures are associated with a high rate of complications, including soft tissue injury, nerve damage, vascular injury, infection, delayed union, nonunion, and osteoarthritis (OA), which makes them one of the most challenging injuries to treat [ 7 – 10 ]. Also, due to their intraarticular nature, it is of utmost importance to achieve anatomical reduction and limb alignment [ 5 , 8 , 11 ].…”