Modified hybrid fixator for high-energy Schatzker V and VI tibial plateau fractures

Mohd Hisam Muhamad Ariffin, Siti Nidzwani Mohamad Mahdi, Shaharuddin Abdul Rhani, Azmi Baharudin, Ya Mohamad Hassan Shukur

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

High-energy tibial plateau fractures associated with severe soft tissue injury are difficult to manage. The risk of wound complications following open reduction and internal fixation is notably high owing to extensive soft tissue dissection. Alternatively, application of hybrid external fixator minimizes soft tissue dissection and provides adequate fracture stabilization to allow early range of motion and correction of any mal-alignment. With this technique, soft tissue complications particularly surgical site infections are expected to be significantly reduced. This prospective study aims to determine the effectiveness of a modified hybrid external fixator in the management of high-energy tibial plateau fractures. Thirty-three patients with high-energy Schatzker V and VI tibial plateau fracture with severe soft tissue injury precluding formal open reduction were enrolled into the study. The fixator was a construct combining the Ilizarov ring with a monolateral external fixator. The results-bony union, range of motion, and associated complications of the treatment-were assessed. All fractures united within an average time of 14 weeks. Neither loss of reduction nor surgical site wound breakdown/osteomyelitis was noted. Eight patients developed superficial pin track infection and one septic arthritis of the knee joint. Hybrid external fixation is a safe option for complex high-energy tibial plateau fractures by simultaneously providing adequate fracture stabilization and protection of soft tissue healing to achieve bony union. The complication is mainly related to pin tract infection.

Original languageEnglish
Pages (from-to)21-26
Number of pages6
JournalStrategies in Trauma and Limb Reconstruction
Volume6
Issue number1
DOIs
Publication statusPublished - Apr 2011

Fingerprint

Tibial Fractures
External Fixators
Soft Tissue Injuries
Articular Range of Motion
Dissection
Surgical Wound Infection
Infectious Arthritis
Osteomyelitis
Knee Joint
Infection
Prospective Studies
Wounds and Injuries
Therapeutics

Keywords

  • High-energy tibial plateau fractures
  • Hybrid external fixator
  • Severe soft tissue injury

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

Modified hybrid fixator for high-energy Schatzker V and VI tibial plateau fractures. / Muhamad Ariffin, Mohd Hisam; Mohamad Mahdi, Siti Nidzwani; Abdul Rhani, Shaharuddin; Baharudin, Azmi; Shukur, Ya Mohamad Hassan.

In: Strategies in Trauma and Limb Reconstruction, Vol. 6, No. 1, 04.2011, p. 21-26.

Research output: Contribution to journalArticle

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