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Review
. 2015 Feb 24;13(3):193-9.
doi: 10.1016/j.jor.2015.02.002. eCollection 2016 Sep.

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

Tarek Boutefnouchet  1 , Ayaz S Lakdawala  1 , Panayiotis Makrides  1
Affiliations
Review

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

Tarek Boutefnouchet et al. J Orthop. .

Abstract

Purpose: The aim of this study was to determine whether circular frame external fixation provides better outcome and fewer complications when compared to open reduction internal fixation.

Methods: A systematic search was carried out and studies were critically appraised with narrative data synthesis.

Results: The systematic search yielded 131 titles and following a rigorous review only five articles were found to directly compare the two treatment methods.

Conclusions: Fine wire frame external fixation offers a modest advantage of better soft tissue outcomes. All in all, there is no current high-level evidence to suggest that newer osteosynthesis plates provide better results.

Keywords: Bicondylar/Schatzker 6; External fixation; Open reduction and internal fixation; Tibial plateau fractures.

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Figures

Fig. 1
Fig. 1
Flow diagram of the systematic literature search.
See this image and copyright information in PMC

References

    1. Young M.J., Barrack R.L. Complications of internal fixation of tibial plateau fractures. Orthop Rev. 1994;23:149–154. - PubMed
    1. Covall D.J., Fowble C.D., Foster T.E., Whitelaw G.P. Bicondylar tibial plateau fractures: principles of treatment. Contemp Orthop. 1994;28:115–122. - PubMed
    1. Graves M.L. Periarticular tibial fracture treatment in the obese population. Orthop Clin North Am. 2011;42:37–44. [v–vi] - PubMed
    1. Brem M.H., Bail H.J., Biber R. Value of incisional negative pressure wound therapy in orthopaedic surgery. Int Wound J. 2014;1:3–5. - PMC - PubMed
    1. Schatzker J., McBroom R., Bruce D. The tibial plateau fracture. The Toronto experience 1968–1975. Clin Orthop Relat Res. 1979:94–104. - PubMed

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