Staged Treatment of Bicondylar Tibial Plateau Fracture (Schatzker Type V or VI) Using Temporary External Fixator: Correlation between Clinical and Radiological Outcomes
The Journal of Korean Knee Society
;
: 261-268, 2018.
Artigo
em Inglês
| WPRIM
| ID: wpr-759327
ABSTRACT
PURPOSE:
This study is to investigate clinical and radiological results of staged treatment using a temporary external fixator in bicondylar tibial plateau fractures (TPFs) and to evaluate correlation between prognostic factors and postoperative clinical outcomes. MATERIALS ANDMETHODS:
Twenty-four bicondylar TPF patients were selected. All patients were operated by a temporary external fixator first and then open reduction and internal fixation with dual plating. Clinical and radiological outcomes were evaluated.RESULTS:
The mean American Knee Society score (AKSS) was 85.3. The mean Western Ontario and McMaster Universities Osteoarthritis index was 11.2. The mean range of motion (ROM) was 123.4°. The mean medial tibial plateau angle (mTPA) was 88.3°, and the mean proximal posterior tibial angle (PPTA) was 8.4°. Compared with the uninjured limb, the mean difference of mTPA was 1.5° and that of PPTA was 4.0°. The difference of PPTA and the AKSS demonstrated negative correlation (p=0.007). Patients with normal mTPA showed better ROM than those with abnormal mTPA (p=0.041).CONCLUSIONS:
Staged treatment using a temporary external fixator in bicondylar TPFs showed good clinical and radiological outcomes. Surgeons should evaluate the reduction status intraoperatively by fluoroscopy and also refer to the uninjured limb radiologically.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Ontário
/
Osteoartrite
/
Tíbia
/
Fluoroscopia
/
Fixadores Externos
/
Amplitude de Movimento Articular
/
Extremidades
/
Cirurgiões
/
Joelho
Tipo de estudo:
Estudo prognóstico
Limite:
Humanos
País/Região como assunto:
América do Norte
Idioma:
Inglês
Revista:
The Journal of Korean Knee Society
Ano de publicação:
2018
Tipo de documento:
Artigo
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