Malreduction of tibial articular width in bicondylar tibial plateau fractures treated with circular external fixation is associated with post-traumatic osteoarthritis

OBJECTIVES: We aimed to report outcomes of Bicondylar Tibial Plateau (BTP) fractures treated using Ilizarov fixation, and identify risk factors for developing post-traumatic radiographic osteoarthritis (ROA).

METHODS: Retrospective study of 80 BTP fractures managed with Ilizarov fixation.

RESULTS: All fractures united, with only 3 cases of deep infection. ROA was evident in 12.5% at average 13 months post-injury. Increased tibial articular-widening associated with risk of developing ROA (p = 0.02).

CONCLUSION: Ilizarov fixation is safe and reliable in the management of BTP fractures. Restoration of tibial articular-width at fixation associated with reduced risk of developing radiographic OA.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:16

Enthalten in:

Journal of orthopaedics - 16(2019), 1 vom: 15. Jan., Seite 91-96

Sprache:

Englisch

Beteiligte Personen:

Thiagarajah, Shankar [VerfasserIn]
Hancock, Graeme E [VerfasserIn]
Mills, Edward J [VerfasserIn]
McGregor-Riley, Jonathan C [VerfasserIn]
Royston, Simon L [VerfasserIn]
Dennison, Michael G [VerfasserIn]

Links:

Volltext

Themen:

Bicondylar
Fracture
Ilizarov
Journal Article
Osteoarthritis
Plateau
Tibial

Anmerkungen:

Date Revised 31.03.2022

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1016/j.jor.2018.12.016

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM292899769