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

Citation:
elbarbary H, abdel ghany H, misbah H, and salem K, "Complex tibial plateau fractures treated with Ilizarov external fixator with or without minimal internal fixation.", Int Orthop, vol. 29(3), pp. 182:185, 2005.

Abstract:

Abstract
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.

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