Tibial plateau fr. -Ilizarov

Information about Tibial plateau fr. -Ilizarov

Published on April 25, 2010

Author: acortho

Source: authorstream.com

Content

HIGH VELOCITY TIBIAL PLATEAU FRACTURES TREATED ILIZAROV METHODOLOGY : HIGH VELOCITY TIBIAL PLATEAU FRACTURES TREATED ILIZAROV METHODOLOGY Prof. A. Chandrasekaran MS, PhD., Dr. S. Vignesh Jayabalan MS ortho, Department of Orthopaedic Surgery SRI RAMACHANDRA UNIVERSITY, PORUR,CHENNAI -600116 INDIA Aim : Aim To study the CLINICAL OUTCOME of Ilizarov methodology in the treatment of (Schatzker type V & VI) high velocity tibial plateau fractures. Ilizarov ring fixator : Ilizarov ring fixator Gives stability of the bone fragments and allows axial micro motion by its elasticity Able to control shear at fracture site but allowing axial and bending dynamisation. Materials and method : Materials and method Prospective study , SRMC & RI between June,1995 to May,2009 36 fresh fractures, 4 non union Total of 40 patients 3 patients lost Follow-up. 30- 63 yrs( average age 45) Male -35; female - 5 Material and methods : Material and methods Average waiting time - 21.4 hrs 3- ring construct routine 4 – ring construct in unstable knee Fixator removal – 14.96 weeks (avg) All fractures united Knee society score : Knee society score S 30/m - excellent : S 30/m - excellent Score - 181 S 30/m - excellent : S 30/m - excellent Score - 181 Pre op post op 1 year follow up S 30/m - excellent : S 30/m - excellent Score - 181 1 year A 50/m -excellent : A 50/m -excellent Score - 190 Pre op Post op 2 yrs follow up S 33/m excellent : S 33/m excellent Score - 172 Pre op Post op 2 yrs follow up S 33/m - excellent : S 33/m - excellent Score - 172 M 53/m - excellent : M 53/m - excellent Score - 176 Pre op 8 years follow up Ptpost op 6 months K 60/m - fair : K 60/m - fair Score - 138 K 60/m - fair : K 60/m - fair Score - 138 Pre op Post op 3 months 3 months 2 years follow up K 60/m - fair : K 60/m - fair Score - 138 Complications : Complications Early removal varus deformity : Early removal varus deformity Review of literature : Review of literature Summary : Summary ILIZAROV method is a procedure in the treatment of complex tibial plateau fractures with soft tissue complications Ilizarov ring fixator is useful in treating both open and closed Type V and VI tibial condyle fractures Summary : Summary Ilizarov ring fixator gives stability, rigidity and prevents secondary displacement of # fragments Offers significant advantage in the case of fracture blisters with impending compartment syndrome Conclusion : Conclusion With an excellent functional outcome of 94.6%, it is an useful armamentarium in the management of high velocity tibial plateau fractures

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