scholarly journals Treatment of Complex Proximal Tibial Fractures (Types V & VI of Schautzker Classification) by Double Plate Fixation with Single Anterior Incision

2013 ◽  
Vol 03 (04) ◽  
pp. 208-212 ◽  
Author(s):  
Ebrahim Ghayem Hassankhani ◽  
Farzad Omidi Kashani ◽  
Golnaz Ghayem Hassankhani
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>


2016 ◽  
Vol 98 (15) ◽  
pp. 1292-1297 ◽  
Author(s):  
Markus Parkkinen ◽  
Rami Madanat ◽  
Jan Lindahl ◽  
Tatu J. Mäkinen

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 ◽  
...  

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

2021 ◽  
Vol 3 (1) ◽  
pp. 38-40
Author(s):  
Ziyad AlShaqsi ◽  
Sara Alhabsi ◽  
Yumna Alnaabi ◽  
Yaqoub Almufargi

Proximal tibial fractures are very rare. Our case is about a six-year-old girl presented with proximal tibial triplane fracture associated with proximal and distal fibula and distal tibial fractures, as a result of a fall of a cement wall on her right knee. A radiograph and computerized tomography (CT) scan were reported as Salter-Harris type III fracture. She was treated by an open reduction and internal fixation by a screw and Kirschner wires. She was followed up for 12 months and showed an excellent knee outcome and her knee range of motion was 10-130o. Anatomical reduction and stable fixation are necessary to prevent future pain, deformity and arthritis. The case demonstrates the efficacy of using an open reduction and internal fixation by a screw and Kirschner wires in treating children with triplane proximal tibial fracture.  This type of fracture is not frequently seen and a right diagnosis leads to better management, which could prevent future complications


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