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. 2005 Jun;29(3):182-5.
doi: 10.1007/s00264-005-0638-6. Epub 2005 Mar 9.

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

H El Barbary  1 , H Abdel Ghani, H Misbah, K Salem
Affiliations

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

H El Barbary et al. Int Orthop. 2005 Jun.

Abstract
in English, French

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.

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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Figures

Fig. 1
Fig. 1
Closed right tibial fracture in a 41-year-old man treated with closed reduction, minimal internal fixation, and fixation with Ilizarov’s apparatus.
Fig. 2
Fig. 2
Left distal femoral fracture and ipsilateral tibial plateau fracture in a 20-year-old man treated with minimal internal fixation and cross-knee Ilizarov fixator.
See this image and copyright information in PMC

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