Outcomes following the treatment of bicondylar tibial plateau fractures with fine wire circular frame external fixation compared to open reduction and internal fixation: A systematic review

Boutefnouchet, Tarek; Lakdawala, A.; Makrides, Panayiotis

doi:10.1016/j.jor.2015.02.002

Cited by 14 publications

(12 citation statements)

References 53 publications

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“…Several studies have compared outcomes with the two treatment modalities for the management of tibial plateau fractures, but with conflicting results. A few systematic reviews and meta-analyses have also attempted to summarize existing evidence on the superiority of one treatment over the other [8][9][10]. Boutefnouchet et al [8] in their systematic review of 5 studies and Metcalfe et al [9] in their meta-analysis of 7 studies demonstrated similar results with either fixation technique for tibial plateau fractures.…”

Section: Introductionmentioning

confidence: 99%

“…A few systematic reviews and meta-analyses have also attempted to summarize existing evidence on the superiority of one treatment over the other [8][9][10]. Boutefnouchet et al [8] in their systematic review of 5 studies and Metcalfe et al [9] in their meta-analysis of 7 studies demonstrated similar results with either fixation technique for tibial plateau fractures. Later in 2017, in a meta-analysis of 11 studies, Zhao et al [10] also reported similar results but pointed out the deficiency of highquality studies in the literature comparing the two fixation methods.…”

Section: Introductionmentioning

confidence: 99%

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Comparison between open reduction with internal fixation to circular external fixation for tibial plateau fractures: A systematic review and meta-analysis

Wang

et al. 2020

PLoS ONE

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Peer-reviewed published studies on tibial plateau fractures treated with either open reduction with internal fixation (ORIF) or circular external fixation were reviewed to compare functional, radiological outcomes, postoperative complications, and reoperation rates between the two methods. A systematic search of various databases including Medline, Cochrane Controlled Register of Trials (CENTRAL), ScienceDirect, and Google Scholar from inception until June 2019 was performed. 17 studies with 1168 participants were included in the review. Most of the studies (76%) were retrospective in nature and had low or unclear bias risks. Incidence of total infection (Odds ratio [OR], 2.58; 95% CI, 1.33-5.02) and malunions (OR, 2.56; 95% CI, 1.12-5.84) were higher and length of hospital stay was shorter in patients treated with circular external fixator (Mean difference [MD],-6.1; 95% CI,-11.1-1.19). There were no differences in the incidence of secondary osteoarthritis (OR, 1.49; 95% CI, 0.92-2.42), range of motion (MD, 2.28; 95% CI,-11.27-15.82) non-union (OR, 1.44; 95% CI, 0.14-14.27) and reoperation rates (OR, 1.84; 95% CI, 0.90-3.78) between the two groups. Results from this investigation suggest that circular fixation may offer some advantages over ORIF such as a shortened length of hospital stay and early return to preinjury activities. Definitive clinical recommendations cannot be made as it also presents higher rates of postoperative complications than ORIF.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comparison between open reduction with internal fixation to circular external fixation for tibial plateau fractures: A systematic review and meta-analysis

Wang

et al. 2020

PLoS ONE

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“…Debnath et al [ 21 ], Gill and Raza [ 22 ], Zhao et al [ 23 ], and Nesari et al [ 24 ] believe that the Ilizarov technique is better for the management of complex tibial plateau fractures, which have extensive comminution with compromise of soft tissue and should be preferred over other methods. Whereas Tahir et al [ 25 ], Pineda et al [ 26 ], Metcalfe et al [ 27 ], and Boutefnouchet et al [ 28 ] believe that mode of fixation (ORIF or Ilizarov ring fixator) do not make any difference in the outcome.…”

Section: Discussionmentioning

confidence: 99%

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

Baloch

Rafi

Junaid

et al. 2020

Cureus

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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.

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“…Dual (medial and lateral) incisions, locking fixation, and minimally invasive techniques have all reportedly contributed to fewer soft tissue and infectious complications. 17,21,31,[34][35][36][37][38] While two-stage treatment became a popular widespread practice, it is unclear to what extent this practice was responsible for improved results in the treatment of tibial plateau fractures compared to refined techniques of soft tissue dissection and implant evolution.…”

Section: Discussionmentioning

confidence: 99%

“…[13][14][15][16] Alternative strategies to avoid early open surgery include percutaneous fixation and definitive external fixation. 15, [17][18][19][20][21][22][23] The benefits of two-stage treatment come with higher monetary costs related to multiple procedures, additional implants, and prolonged or repeat hospitalizations. Additionally, delayed definitive treatment may increase the difficulty of fracture reduction.…”

Section: Introductionmentioning

confidence: 99%

Costs and Complications of Single-Stage Fixation Versus 2-Stage Treatment of Select Bicondylar Tibial Plateau Fractures

Virkus

Caballero

Kempton

et al. 2018

Journal of Orthopaedic Trauma

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Outcomes following the treatment of bicondylar tibial plateau fractures with fine wire circular frame external fixation compared to open reduction and internal fixation: A systematic review

Cited by 14 publications

References 53 publications

Comparison between open reduction with internal fixation to circular external fixation for tibial plateau fractures: A systematic review and meta-analysis

Comparison between open reduction with internal fixation to circular external fixation for tibial plateau fractures: A systematic review and meta-analysis

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

Costs and Complications of Single-Stage Fixation Versus 2-Stage Treatment of Select Bicondylar Tibial Plateau Fractures

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