IJOCP | April 2014 | Volume 1 | Issue 1 | Page 3
Conference: North Zone Indian Orthopaedic Association Conference, 2014 – Amritsar, India [Click for Full details]  

Authors: Amit Kumar Salaria, Prof. Mukand Lal, Prof. Manoj Thakur, Dr DR Chandel [1]
Authors Affiliations: [1] Indira Gandhi Medical College & Hospital, Shimla, India
Address of Correspondence:
Dr Amit Kumar Salaria, Department of Orthopaedic Surgery. IGMC, Shimla, HP. 171001. Email: Email: meetamit20salaria@gmail.com


Abstract                                                                                                                 

Background – 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 hybrid external fixator provides acceptable treatment outcome with less complications.

Results: There were 11 (50%) Schatzker VI & 11 (50%) V fractures. Seven fractures were open. Average follow up was 24 weeks. Nineteen (86.4%) fractures united with mean union time of 15.8 weeks. There was one (4.6%) case of malunion and 3 (13.6%) cases of nonunion. Complications reported were pintract infections 05 (22.7%), pintract pain 03 (13.6%) and superficial wound complications 03 (13.6%). There were no cases of osteomyelitis, septic arthritis, deep vein thrombosis. Nineteen (86.4%) patients had Rasmussen final outcome as good/excellent i.e. acceptable and 03 (13.6%) had non acceptable. Open fractures, interval between injury and surgery of > 3days, prolonged stay in hospital i.e. > 15 days and post operative complications after surgery were associated with poorer outcomes.

Conclusion: Hybrid external fixation with or without open reduction and minimal internal fixation is a good surgical method in the treatment of complex tibial plateau fractures. It is safe, versatile and effective in providing stability, and has minimal impact on underlying soft tissue. It also facilitates early knee motion, thus achieving good to excellent results in majority of patients.


How to Cite this Abstract
Salaria AK, Lal M, Thakur M, Chandel DR. Evaluation of Hybrid External Fixator in Management of Tibial Plateau Fractures. I J Orthopaedic Conference Proceedings. April 2014;1(1):3