Intra-articular fractures of the tibial plafond. A comparison of the results using articulated and ring external fixators

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dc.contributor.authorOkcu G.
dc.contributor.authorAktuglu K.
dc.date.accessioned2024-07-22T08:24:25Z
dc.date.available2024-07-22T08:24:25Z
dc.date.issued2004
dc.description.abstractWe retrospectively reviewed 60 fractures of the tibial plafond treated by either an ankle-sparing diaphyseal-epiphyseal technique using the Ilizarov ring fixator or by an ankle-spanning technique using a monolateral articulated external fixator. The Ilizarov ring fixator was applied in 24 fractures and the monolateral articulated transarticular external fixator in 20. Both techniques were combined with limited open reduction and internal fixation of the articular surface if necessary. Between three and nine years after the injury, all patients returned for clinical and radiological assessment and evaluation of ankle function using the modified Mazur score. There were no significant differences between the two groups in terms of age, gender, mechanism of injury, type of fracture or length of follow-up. The mean functional ankle score was 86 points for the Ilizarov group and 82 points for the articulated fixator group. The difference was not significant (p = 0.07). There were no significant differences between the groups with regard to the radiographic score and late complications. Patients treated with the Ilizarov ring fixator had significantly better ankle and subtalar movement. We conclude that both techniques of external fixation are satisfactory methods of treatment for fractures of the tibial plafond, but that the total arc of movement of the joint is preserved better without bridging the ankle. © 2004 British Editorial Society of Bone and Joint Surgery.
dc.identifier.DOI-ID10.1302/0301-620X.86B6.15077
dc.identifier.issn0301620X
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/19969
dc.language.isoEnglish
dc.rightsAll Open Access; Bronze Open Access
dc.subjectAdult
dc.subjectExternal Fixators
dc.subjectFemale
dc.subjectFollow-Up Studies
dc.subjectFracture Fixation
dc.subjectHumans
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectPostoperative Complications
dc.subjectRetrospective Studies
dc.subjectTibial Fractures
dc.subjectTreatment Outcome
dc.subjectadult
dc.subjectage
dc.subjectbone radiography
dc.subjectcontrolled study
dc.subjectdiaphysis
dc.subjectdisease classification
dc.subjectepiphysis
dc.subjectexternal fixator
dc.subjectfemale
dc.subjectfollow up
dc.subjectfracture external fixation
dc.subjectfracture healing
dc.subjectfracture nonunion
dc.subjectfracture treatment
dc.subjecthuman
dc.subjectIlizarov technique
dc.subjectintermethod comparison
dc.subjectintraarticular fracture
dc.subjectjoint function
dc.subjectjoint mobility
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectmedical assessment
dc.subjectopen reduction
dc.subjectosteomyelitis
dc.subjectosteosynthesis
dc.subjectpostoperative complication
dc.subjectpostoperative period
dc.subjectpriority journal
dc.subjectretrospective study
dc.subjectreview
dc.subjectscoring system
dc.subjectsex difference
dc.subjectsurgical technique
dc.subjecttibia fracture
dc.subjecttime
dc.titleIntra-articular fractures of the tibial plafond. A comparison of the results using articulated and ring external fixators
dc.typeReview

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