Risk Factors for Deep Infection Following Plate Fixation of Proximal Tibial Fractures

2016 ◽  
Vol 98 (15) ◽  
pp. 1292-1297 ◽  
Author(s):  
Markus Parkkinen ◽  
Rami Madanat ◽  
Jan Lindahl ◽  
Tatu J. Mäkinen
Author(s):  
Amit Dwivedi ◽  
Anupinder Sharma ◽  
Vaibhav Ashta ◽  
Robium Nairobi ◽  
Sunandan Nandi

<p><strong>Background:</strong> Proximal tibial fractures present with a variety of patterns. They are mostly treated using plate osteosynthesis or Joshi's external stabilization system (JESS) depending upon the injury configuration and surgeon preference. We have compared the efficacy of plate fixation to JESS in the treatment of complex proximal tibial fractures.<strong></strong></p><p><strong>Methods</strong>: 36 patients of proximal tibial fractures with a mean age of 47 years were included in the study, 20 were treated using plate osteosynthesis while the other 16 were treated using JESS, they were followed up at regular intervals till 24 weeks and the progress was recorded in accordance with the knee society score (KSS) parameters<strong></strong></p><p><strong>Results</strong>: 20 patients were treated using plate osteosynthesis, 18 of them had excellent KSS scores, 2 patients recorded good scores, average range of flexion was 126<sup>o</sup>, no incidences of superficial or deep infections were seen in any of them. Bone consolidation was achieved around 12 weeks in plate fixation group of the16 patients treated using JESS, 12 had excellent scores, 4 recorded a good score, average range of flexion was 118<sup>o</sup>, superficial infection was seen in 2 patients, with no incidence of deep infection. Bone consolidation was achieved around 16 weeks in JESS group.</p><p><strong>Conclusions</strong>: Both open reduction internal fixation (ORIF) with plating and JESS appear to be adequate fixation methods for complex proximal tibial fractures, but as per our study plate fixation resulted in earlier bone consolidation and gave a slightly better functional outcome compared to JESS.</p>


2010 ◽  
Vol 12 (2) ◽  
pp. 100-110 ◽  
Author(s):  
Toby O. Smith ◽  
Christopher Hedges ◽  
Kersten Schankat

2000 ◽  
Vol 13 (3) ◽  
pp. 507
Author(s):  
Young Soo Byun ◽  
Hong Tae Kim ◽  
Soon Man Hong ◽  
Sang Chul Shin ◽  
Soo Yeol Jeon ◽  
...  

Injury ◽  
2006 ◽  
Vol 37 (6) ◽  
pp. 554-560 ◽  
Author(s):  
Kazuhiko Yokoyama ◽  
Masataka Uchino ◽  
Koushin Nakamura ◽  
Hiroshi Ohtsuka ◽  
Takashi Suzuki ◽  
...  

2012 ◽  
Vol 20 (3) ◽  
pp. 307-311 ◽  
Author(s):  
Sunil G Kulkarni ◽  
Ankit Varshneya ◽  
Shreenath Kulkarni ◽  
Govind S Kulkarni ◽  
Milind G Kulkarni ◽  
...  

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