tailieunhanh - báo cáo hóa học:" High energy tibial plateau fractures treated with hybrid external fixation"

Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học quốc tế đề tài : High energy tibial plateau fractures treated with hybrid external fixation | Babis et al. Journal of Orthopaedic Surgery and Research 2011 6 35 http content 6 1 35 JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH RESEARCH ARTICLE Open Access High energy tibial plateau fractures treated with hybrid external fixation 1 2 1 3 George C Babis Dimitrios S Evangelopoulos Panagiotis Kontovazenitis Konstantinos Nikolopoulos and Panagiotis N Soucacos1 Abstract Management of high energy intra-articular fractures of the proximal tibia associated with marked soft-tissue trauma can be challenging requiring the combination of accurate reduction and minimal invasive techniques. The purpose of this study was to evaluate whether minimal intervention and hybrid external fixation of such fractures using the Orthofix system provide an acceptable treatment outcome with less complications. Between 2002 and 2006 33 patients with a median ISS of were admitted to our hospital a level I trauma centre with a bicondylar tibial plateau fracture. Five of them sustained an open fracture. All patients were treated with a hybrid external fixator. In 19 of them minimal open reduction and stabilization by means of cannulated screws was performed. Mean follow-up was 27 months range 24 to 36 months . Radiographic evidence of union was observed at months range 3 to 7 months . Time for union was different in patients with closed and grade I open fractures compared to patients with grade II and III open fractures. One non-union septic was observed requiring revision surgery. Pin track infection was observed in 3 patients . Compared to previously reported series of conventional open reduction and internal fixation hybrid external fixation with or without open reduction and minimal internal fixation with the Orthofix system was associated with satisfactory clinical and radiographic results and limited complications. Introduction Intra-articular fractures of the proximal end of the tibia the so-called plateau fractures are serious complex injuries .