scholarly journals The Role of a Primary Arthroplasty in the Treatment of Proximal Tibia Fractures in Orthogeriatric Patients

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Thomas Haufe ◽  
Stefan Förch ◽  
Peter Müller ◽  
Johannes Plath ◽  
Edgar Mayr
Keyword(s):  
Knee Society Score ◽  
Proximal Tibia ◽  
Weight Bearing ◽  
Womac Score ◽  
Tibia Fracture ◽  
Full Weight Bearing ◽  
Knee Score ◽  
Promising Alternative ◽  
Proximal Tibia Fracture ◽  
Primary Arthroplasty

The total knee arthroplasty (TKA) is the gold standard for patients with an advanced symptomatic gonarthrosis. However, there are very few publications dealing with the primary TKA for patients with a proximal tibia fracture. In our retrospective study we evaluated 30 patients treated with a TKA for a proximal tibia fracture in our institution between 01/2008 and 12/2014. We collected the following statistical data from each patient: age, classification of the fracture (AO-classification), type of prosthesis used, length of the operation and hospitalization, and complications during the follow-up. We used the Knee Society Score (KSS) and the WOMAC score to evaluate the function. The Knee Society Score showed an average “general knee score” (KSS1) of 81.1 points and an average “functional knee score” (KSS2) of 74.5 points. The average WOMAC score was 78.6 points. Immediate postoperative mobilization with the possibility of a full-weight bearing is of crucial importance for the geriatric patients to maintain the mobility they had prior to the operation and reduce medical complications. Because of these advantages, the primary TKA seems to be a promising alternative to the ORIF of a proximal tibia fracture in the orthogeriatric patient.

scholarly journals Functional and radiological outcome of expert tibia nailing in proximal tibia fractures

2018 ◽  
Vol 5 (1) ◽  
pp. 50
Author(s):  
Rahul Kadam ◽  
Ashutosh Ajit Jadhav ◽  
Abhay Chaallani ◽  
Preetam Singh Dagar ◽  
Jehangir Malcom Pestonji
Keyword(s):  
Proximal Tibia ◽  
Weight Bearing ◽  
Proximal Part ◽  
Tibia Fracture ◽  
Full Weight Bearing ◽  
Proximal Tibia Fracture ◽  
Tibia Fractures ◽  
Good Treatment Option ◽  
Proximal Tibia Fractures ◽  
Radiological Union

<p class="abstract"><strong>Background:</strong> Previously treatment of choice for proximal tibia fracture was internal fixation by plate. Presently, expert tibia nail is widely used in treating proximal tibia fracture. Expert tibia nailing system has features like multi directional locking options in the distal and proximal part of the nail, in addition to the standard static and dynamic locking options present in IMIL Nail. Purpose of study is to evaluate the outcome of expert tibia nail in proximal tibia fracture.</p><p class="abstract"><strong>Methods:</strong> We retrospectively, reviewed thirty patients having proximal tibia fracture with age more than 18 years treated with expert tibia nail and were followed up averagely for 12 months between May2016 to May2018. All patients were compared in terms of intraoperative and postoperative parameters and functionally assessed using the Johner and Wruchs criteria at 3 weeks, 3 months, 6 months and 12 months.<strong></strong></p><p class="abstract"><strong>Results:</strong> Functional outcome was measured by Johner and Wruhs criteria of 30 patients showed 20 excellent, 8 good, 2 patients had fair results. Average time unprotected full weight bearing walking was 7.2 weeks. Average time taken for radiological union was 18.2 weeks.</p><p class="abstract"><strong>Conclusions:</strong> Expert tibial Interlocking Nail is good treatment option for proximal tibia fracture.</p>

PHYSIOTHERAPY AFTER SURGICALLY STABILIZED PROXIMAL TIBIA FRACTURE

2020 ◽  
Vol 18 (2) ◽  
pp. 156-160
Author(s):  
R. Tasheva
Keyword(s):  
Proximal Tibia ◽  
Weight Bearing ◽  
Lateral Compartment ◽  
Recovery Phase ◽  
Knee Extension ◽  
Tibia Fracture ◽  
Extension Deficit ◽  
Proximal Tibia Fracture ◽  
Ao Classification ◽  
Correct Function

THE AIM OF THIS STUDY is to present the physiotherapy for overcoming the substitution movements and to restore the correct function in the phase of relative protection after surgical stabilized proximal tibia fracture. Material and method Seven patients after fracture in the proximal lateral compartment of the tibia (type b1 in AO classification) with an average age of 42, 9 years were treated. After surgery, an average of 30 days of the brace was used for relative protection. The aim of the physiotherapy was to overcome muscle imbalance to achieve proper movement in the respective planes. Emphasis on recovery was the proper weight bearing on the operated lower limb. RESULTS The results of the first recovery phase demonstrated very limited knee flexion in range of 22, 7º, and knee extension deficit in the range of -15º. After two weeks the results progressed to 115, 5º flexion and full restoration of the extension. Control of edema and hypotrophy of the thigh were proven by circumference. CONCLUSION The adequate physiotherapy provides overcoming of the substitution movements and to restore the correct knee function in the phase of relative protection after surgical stabilized fracture in the proximal tibia.

scholarly journals MANAGEMENT OF PROXIMAL TIBIA FRACTURE USING L.C.P (LOCKING COMPRESSION PLATE)

2020 ◽  
pp. 71-72
Author(s):  
Anand Katakdhond ◽  
S. F. Kammar ◽  
A. A Hosangadi ◽  
Prashant Kumar T. S. ◽  
Ateet P. Babli
Keyword(s):  
Knee Joint ◽  
Proximal Tibia ◽  
Weight Bearing ◽  
Tibia Fracture ◽  
Daily Routine ◽  
Rigid Fixation ◽  
Proximal Tibia Fracture ◽  
Excellent Outcome ◽  
Vein Thrombosis ◽  
Anatomic Reduction

BACKGROUND: Knee Joint is one of the most important weight bearing joint and also an important joint in locomotion carrying daily routine activities. Hence any fractures around the bones of knee joint needs to be fixed meticulously in order to get the optimal functional activity. Tibia plateau fracture one of the most common fracture around knee joint. The present study involves the evaluation of LCP plating in fixation of proximal tibia fracture. MATERIALS AND METHODS: Prospective study of 40 patients was done from year 2017 to year 2020 in Department of Orthopaedics KIMS hubli in which 40 patients were operated with LCP for proximal tibia fracture RESULTS: Rasmussen’s functional grading system was used to evaluate the clinical outcome. End results 35 had excellent outcome. 5 had good outcome. Complications occurred were superficial wound infection in 5 patients . 1 had Deep vein thrombosis . 5 patients had extensor lag of 12 to 14 degrees. CONCLUSION: LCP plating system has given a good functional outcome for proximal tibial fractures by restoring the articular congruity and good anatomic reduction and rigid fixation.

scholarly journals Proximal tibia fracture in a patient with incomplete spinal cord injury associated with robotic treadmill training

Spinal Cord ◽  
2015 ◽  
Vol 53 (12) ◽  
pp. 875-876 ◽  
Author(s):  
T R M Filippo ◽  
M C L De Carvalho ◽  
L B Carvalho ◽  
D R de Souza ◽  
M Imamura ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Proximal Tibia ◽  
Tibia Fracture ◽  
Treadmill Training ◽  
Incomplete Spinal Cord Injury ◽  
Proximal Tibia Fracture ◽  
Cord Injury ◽  
Robotic Treadmill Training

scholarly journals Synovial Lipomatosis (Lipoma Arborescens) of the Knee

2014 ◽  
Vol 2 (11_suppl3) ◽  
pp. 2325967114S0026
Author(s):  
Melih Malkoç ◽  
Ozgur Korkmaz ◽  
Ali Seker ◽  
Mehmet Isyar ◽  
Ismail Oltulu ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Knee Society Score ◽  
Weight Bearing ◽  
Full Range ◽  
Daily Activities ◽  
Full Weight Bearing ◽  
Female Group ◽  
Arthroscopic Synovectomy ◽  
Significant Difference ◽  
Synovial Lipomatosis

Objectives: The goals of this retrospective study are to emphasize that the patients who have non surgical treatments for several times due to the massive swelling in their knees should be considered the SL and this pathology is treatable by arthroscopic synovectomy Methods: Seventeen patients (four female and thirteen male), were evaluated retrospectively from May 2009 and April 2013. Mean age for female group was 34,75 (range between 32 to 41) and for male group was 34,23 (range between 26 to 46). Mean follow-up period was 14,76 months (range between 6 months and 38 months). Mean duration of compliance was 26,23 months (range between 9 to 96) months. All patients rated by Knee Society Score preoperatively and postoperatively arthroscopic synovectomy, performed by using radiofrequency ablation and arthroscopic shaver for treatment procedure. Patients were discharged at the end of the one day hospitalization. Postoperatively all patients were allowed to full range of motion and full weight-bearing within one day after surgery. Results: Patients were evaluated preoperatively and postoperatively using the Knee Society Score. The mean Knee Society Score was 67,82 preoperatively and 88,23 was postoperatively. There is significant difference between preoperative and postoperative Knee Society scores.(p <0.05) At the end of the three months, MRI studied and there was no clue of recurrence except two patients. All patients returned to their daily activities with full of range of motion and without swelling of the affected knee joints. At the microscopic histological studies were reported as synovial lipomatosis for all patients Conclusion: Arthroscopic synovectomy is the safe and dramatically effective method of treatment in synovial lipomatosis with less complication, curability and retrieving patients full range of motion with no limitation in their daily activities

A COMPARATIVE STUDY OF FUNCTIONAL AND RADIOLOGICAL OUTCOME OF HIGH ENERGY PROXIMAL TIBIA FRACTURE USING ILLIZAROV EXTERNAL FIXATOR VS HYBRID EXTERNAL FIXATOR

2021 ◽  
pp. 7-10
Author(s):  
Aditya Shrimal ◽  
Mahesh Bhati ◽  
Avinash Choudhary ◽  
Pradeep Choudhary ◽  
Jayesh Chohan
Keyword(s):  
Soft Tissue ◽  
External Fixator ◽  
Operative Time ◽  
Proximal Tibia ◽  
High Energy ◽  
Tibia Fracture ◽  
Ilizarov Method ◽  
Proximal Tibia Fracture ◽  
Hybrid External Fixator ◽  
Soft Tissue Dissection

Background: In High energy proximal tibia fracture aim is to achieve adequate reduction and stability without signicantly compromising the soft tissue integrity and vascularity . External xator minimizes soft tissue dissection and minimize other complications. Method: 60 patients' high energy proximal tibia fracture with cases were considered in the study. 30 patients were treated with Ilizarov external xator and 30 patients were treated with hybrid external xator. Results were analyzed both clinically and radiologically using Johner and Wruh's criteria. Results: Mean time of union was 22 week in ilizarov xator group and 34 week in hybrid xator group. Pin tract infection occured in 6 patient (20%) in ilizarov xator group and 4 patient in hybrid xator group. Joint stiffness occured in 3 Patient (10 %) in ilizarov group and 10 patient in hybrid xator group.Shortning occured in 2 patient (6.6 %) in ilizarov xator group and 2 patient in hybrid xator group. Overal results in ilizarov group were excellent in 23 patient (76.7%), good in 5 patient (16.67%) , fair in 2 patient (6.67%) while in hybrid group excellent in 16 patient( 53.33%),good in 10 patient(33.33%),fair in 4(13.33%)patient. Conclusion: External xators are excellent modalities in treatment of high energy proximal tibia fracture with ilizarov method has advantage of early mobilization and early union but require long operative time and bulky framework on other hand hybrid xator has simpler construct ,lesser operative time but has lesser stability , longer union time and longer immobilization time.

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