Tibial plateau fractures. A comparison of conservative and surgical treatment

Jensen, DB; Rude, C.; Duus, Benn R; Bjerg-Nielsen, A

doi:10.1302/0301-620x.72b1.2298794

Cited by 118 publications

(60 citation statements)

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“…In the current study, pin-tract infection did not affect the final outcome [12,14,22]. Some authors have stated that anatomical restoration of the plateau surfaces is essential to prevent later osteoarthrosis [10,19,23]. Others have reported good functional results after conservative treatment or after operative treatment that did not restore the anatomy perfectly [4,7,8,15,21,22].…”

Section: Discussionmentioning

confidence: 48%

Complex tibial plateau fractures treated with Ilizarov external fixator with or without minimal internal fixation

Barbary

Abdel-Ghani

Misbah

et al. 2005

International Orthopaedics (SICOT)

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We treated 30 tibial plateau fractures (Schatzker Type VI) in 29 patients, with a mean age of 41.4 (20-76) years, with the Ilizarov fixator. In 18 fractures, we combined the treatment with minimal internal fixation. All fractures were the result of high-energy trauma, and 20 patients had associated injuries. Twenty-eight fractures were available for follow-up after 27 (16-36) months. Using The Knee Society clinical rating system, 18 knees were rated as excellent, seven as good, one as fair, and two as poor. There was a direct correlation between the presence of associated injuries and the final outcome. The most significant concomitant injuries were distal femoral fractures and extensive soft-tissue injury. This study emphasizes the clinical success and low morbidity associated with the use of external fixation and minimal internal fixation.Résumé Nous avons traité chirurgicalement 30 fractures du plateau tibial (Type Schatzker VI) chez 29 malades-âge moyen de 41,4 ans (20-76)-avec un fixateur d'Ilizarov. Pour 18 fractures nous avons combiné le traitement avec une fixation interne légère. Toutes les fractures étaient le résultat d'un traumatisme à haute énergie et 20 patients avaient des lésions associées. Après un suivi de 27 mois (16-36) 28 fractures étaient étudiables. Avec le score de la Knee Society, 18 genoux ont été estimés comme excellents, sept comme bons, un comme moyen, et deux comme mauvais. Il y avait une corrélation directe entre la présence de blessures associées et le dernier résultat, le plus significatif étant l'existence d'une fracture fémorale distale et l'importance des lésions des parties molles. L'étude met en relief le succès clinique et la basse morbidité associés à l'usage du fixateur externe et de la fixation interne légère.

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Section: Discussionmentioning

confidence: 48%

Complex tibial plateau fractures treated with Ilizarov external fixator with or without minimal internal fixation

Barbary

Abdel-Ghani

Misbah

et al. 2005

International Orthopaedics (SICOT)

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“…Decoster et al reported radiological changes in 32% of patients with an average follow-up of ten years [9]. Jensen et al reported 20% moderate to severe changes in the follow-up of 106 cases [16]. Rasmussen reported 17% overall incidence of posttraumatic OA in his series of 260 fractures; however, its incidence in the bicondylar group was 42% [24].…”

Section: Discussionmentioning

confidence: 99%

“…Various treatment modalities have been used over the years, with mixed results. These include traction [3] or closed treatment with cast bracing [9,16]. Surgical procedures including circular frames [1,2,18], percutaneous screw fixation [17], open reduction/internal fixation (ORIF) [1,5,6,10,28] and arthroplasty have also been advocated.…”

Section: Introductionmentioning

confidence: 99%

Tibial plateau fractures: functional outcome and incidence of osteoarthritis in 125 cases

Manidakis

Dosani

Dimitriou

et al. 2009

International Orthopaedics (SICOT)

196

144

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“…Successful results depend on the quality of reduction, ligament stability, treatment of associated soft-tissue injuries, and preservation of the soft-tissue envelope; in addition, good visualization of the articular surface with minimal dissection can help to achieve the desired goal [31][32][33][34].…”

Section: Treatment Optionsmentioning

confidence: 99%

Arthroscopically Assisted Fixation of the Tibial Plateau Fractures

Tilkeridis¹,

Kiziridis²,

Tottas³

et al. 2018

J Bone Res

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Objectives: To consolidate the current literature and find the evidence of any advantages of the use of the above mentioned techniques and also to emphasize the need for well-designed studies to evaluate long-and short-term function and risk of posttraumatic osteoarthritis in arthroscopically-assisted treated patients. Background:The role of arthroscopy in the fixation of tibial plateau fractures has been advocated in the literature in the last decades. A number of papers have been published regarding Arthroscopically Assisted Internal Fixation (mainly) and Arthroscopically Assisted External Fixation (significantly smaller amount of papers) of tibial plateau fractures.

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Tibial plateau fractures. A comparison of conservative and surgical treatment

Cited by 118 publications

References 0 publications

Complex tibial plateau fractures treated with Ilizarov external fixator with or without minimal internal fixation

Complex tibial plateau fractures treated with Ilizarov external fixator with or without minimal internal fixation

Tibial plateau fractures: functional outcome and incidence of osteoarthritis in 125 cases

Arthroscopically Assisted Fixation of the Tibial Plateau Fractures

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