The Anterior T-Frame External Fixator for High-Energy Proximal Tibial Fractures

Bal, George K.; Kuo, Roderick S.; Chapman, Jens R.; Henley, M. Bradford; Benirschke, Stephen K.; Claudi, B.

doi:10.1097/00003086-200011000-00032

Cited by 22 publications

(9 citation statements)

References 13 publications

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“…Stokel EA [26] reported 65% had good to excellent results after being treated-by surgical means with operative treatment. Barei DP et al [12] reported 89% acceptable results of fractures treated by experienced surgeons with accurate reconstruction of articular surface, rigid external fixation and early mobilization. They advocated that meniscectomy at the time of surgery and postoperative immobilization was responsible for poorer functional results.…”

Section: Surgical Treatment and Resultsmentioning

confidence: 99%

“…Antibiotics were given till suture removal [9] . The patients were advised quadriceps exercises, knee mobilization and non-weight bearing crutch walking, on discharge [10][11][12][13][14] . An immediate postoperative X-ray was also done.…”

Section: Managementmentioning

confidence: 99%

“…The third follow-up was done at 3 months (luring which one more X-ray was done and a clinical evaluation of union done. Based on the clinical and radiological signs of union patients were allowed partial weight bearing and gradually progressed to full weight bearing [7,9,12,[15][16][17][18] . The patients were then followed up at 6 months, 1 year and 2 years respectively during which time the anatomic and functional evaluation was done using the modified HohI and Luck evaluation method.…”

Section: Follow Upmentioning

confidence: 99%

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Management of tibial condylar fractures in adults: A prospective study

Bobba¹,

Parthiban²

2018

Int. J. Orthop. Sci.

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Tibial condylar fractures are specially challenging to the Orthopaedic surgeons because of their variation, complexity, and injuries associated with it. Proximal tibia gives attachment to the various elements of knee stabilizers and is an integral part of the knee mechanism. So, alteration of its anatomy caused by injury result in functional impairment of knee. A study has been carried out to know the mode of injury, fracture pattern, outcome of various modalities of treatment, complications encountered and associated with management of tibial condylar fractures in adults. Study consists of 35 patients with tibial condylar fractures. Out of 35 patients, 12 patients were managed by conservative methods and remaining 23 Patients were managed by surgical methods. Conservative treatment included closed reduction and above knee cast application and surgical management included CRIF with CCS or ORIF with BP with or without bone grafts. Functional evaluation of the knee was done, based on the modified HohI and Luck evaluation methods. Incidence of osteoarthritis was assessed based on the most recent radiograph of tile patient's weight bearing. The management of tibial plateau fracture has always been a subject of debate because of their variety and complexity. It is concluded that surgery is the treatment of choice for displaced fractures belonging to Schatzker type I and II. Schatzker's type III fractures can be managed conservatively if the depression is less than 2 mm. Schatzker's type IV and V can be managed by open reduction and internal fixation with Buttress plate and bone grafting especially in young individuals who require perfect anatomical reconstruction of the articular surface, stable fixation and early mobilization. Conservative method is a valid and useful alternative for undisplaced Schatzker type I fractures.

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Section: Surgical Treatment and Resultsmentioning

confidence: 99%

Section: Managementmentioning

confidence: 99%

Section: Follow Upmentioning

confidence: 99%

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Management of tibial condylar fractures in adults: A prospective study

Bobba¹,

Parthiban²

2018

Int. J. Orthop. Sci.

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“…May be managed Conservatively by Functional Bracing [3] Number of surgical management options are available for treatment of the proximal one third tibial fractures which vary according to the type of fractures, age group, bone density, soft tissue status and associated complications. These include open reduction and plate osteosynthesis, minimally invasive plate osteosynthesis, external fixators, ring fixators and interlocking nails [4][5][6][7] . Fractures of the proximal third of the tibial shaft, by virtue of being high-energy injuries, are less amenable to plating primarily because of soft-tissue problems, and plates delay weight bearing.…”

Section: Introductionmentioning

confidence: 99%

“…Interlocking nail in these fractures has the problems of valgus angulation, apex anterior angulation, posterior translation, varus angulation and mal-rotation [10] . Several nailing methods and reduction techniques have been developed to minimize this complication, including the use of an appropriate nail, a proper starting point and insertion angle, blocking screws, unicortical plates, a universal distractor, and alternative positioning and approaches [1,5] . The optimal method of surgical treatment of fractures of the proximal third tibial shaft remains debatable.…”

Section: Introductionmentioning

confidence: 99%

A prospective study of outcomes of intramedullary nailing of proximal third shaft tibia fractures

Kadam¹,

Nagrale²,

Irfan³

et al. 2017

Int. J. Orthop. Sci.

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Introduction: Tibia is the most commonly fractured long bone in the body. Among the total tibial fractures, about 5-11% of fractures occur in the proximal one third of the tibia. Fractures of the proximal third of the tibial shaft, by virtue of being high-energy injuries, are less amenable to plating primarily because of soft-tissue problems, and plates delay weight bearing. External fixators can lead to pin-track infections and there are technical difficulties in preserving knee motion in these juxta-articular fractures. Hence, Interlocking nail remains as an option with benefits of load sharing, sparing the extraosseous blood supply, lesser chances of infections and avoidance of additional soft-tissue dissection, thereby minimizing the risk of postoperative complications. Also allows early joint mobilization and weight bearing with short hospital stay. Aim: To study the clinico-radiological and functional outcome of the patients with proximal one third tibial shaft fractures managed with interlocking nail. Materials and Methods:This Prospective Study consisted of 20 adult patients of either sex with proximal one third tibial shaft fracture managed by Interlocking Nail. Functional outcome was measured by the Johner and Wruh's Criteria. Twenty patients were followed for minimum 6 month with fracture healing time was 12-18weeks. Results: After the end of 6 months follow up most of the patients showed excellent results (12patients, 60%), 5 patients (25%) falls under good category, 3 patients (15%) showed fair results and none of patient showed poor results.The observations and results of present study were compared to other studies. Conclusion: Meticulous intramedullary nailing of fractures of the proximal third of the tibial shaft, using all current surgical principles and techniques, has excellent clinico-radiological outcome and is relatively safe. We recommend a nail similar to a Sirus nail, but with a more proximal bend of the nail and no dynamic interlocking screw hole.

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Système LISS (Less Invasive Stabilization System) appliqué aux fractures proximales du tibia. Indications, technique chirurgicale et résultats préliminaires de l’essai clinique UMC(1)

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The Anterior T-Frame External Fixator for High-Energy Proximal Tibial Fractures

Cited by 22 publications

References 13 publications

Management of tibial condylar fractures in adults: A prospective study

Management of tibial condylar fractures in adults: A prospective study

A prospective study of outcomes of intramedullary nailing of proximal third shaft tibia fractures

Système LISS (Less Invasive Stabilization System) appliqué aux fractures proximales du tibia. Indications, technique chirurgicale et résultats préliminaires de l’essai clinique UMC(1)

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