Bicondylar tibial fractures: Internal or external fixation?

Bicondylar tibial fractures: Internal or external fixation?

Bicondylar fractures of the tibia, representing the Schatzker V and VI fractures represent a challenging problem. Any treatment protocol should aim at restoring articular congruity and the metaphyseo-diaphsyeal dissociation (MDD)—both of these are equally important to long-term outcome. Both interna...

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Main Authors: Kumar, Gunasekaran, Peterson, Nicholas, Narayan, Badri
Format: Online
Language:English
Published: Medknow Publications 2011
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3051117/
id pubmed-3051117
recordtype oai_dc
spelling pubmed-30511172011-03-22 Bicondylar tibial fractures: Internal or external fixation? Kumar, Gunasekaran Peterson, Nicholas Narayan, Badri Review Article Bicondylar fractures of the tibia, representing the Schatzker V and VI fractures represent a challenging problem. Any treatment protocol should aim at restoring articular congruity and the metaphyseo-diaphsyeal dissociation (MDD)—both of these are equally important to long-term outcome. Both internal and external fixations have their proponents, and each method of treatment is associated with its unique features and complications. We review the initial and definitive management of these injuries, and the advantages and disadvantages of each method of definitive fixation. We suggest the use of a protocol for definitive management, using either internal or external fixation as deemed appropriate. This protocol is based on the fracture configuration, local soft tissue status and patient condition. In a nutshell, if the fracture pattern and soft tissue status are amenable plate fixation (single or double) is performed, otherwise limited open reduction and articular surface reconstruction with screws and circular frame is performed. Medknow Publications 2011 /pmc/articles/PMC3051117/ /pubmed/21430865 http://dx.doi.org/10.4103/0019-5413.77130 Text en © Indian Journal of Orthopaedics http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Kumar, Gunasekaran
Peterson, Nicholas
Narayan, Badri
spellingShingle Kumar, Gunasekaran
Peterson, Nicholas
Narayan, Badri
Bicondylar tibial fractures: Internal or external fixation?
author_facet Kumar, Gunasekaran
Peterson, Nicholas
Narayan, Badri
author_sort Kumar, Gunasekaran
title Bicondylar tibial fractures: Internal or external fixation?
title_short Bicondylar tibial fractures: Internal or external fixation?
title_full Bicondylar tibial fractures: Internal or external fixation?
title_fullStr Bicondylar tibial fractures: Internal or external fixation?
title_full_unstemmed Bicondylar tibial fractures: Internal or external fixation?
title_sort bicondylar tibial fractures: internal or external fixation?
description Bicondylar fractures of the tibia, representing the Schatzker V and VI fractures represent a challenging problem. Any treatment protocol should aim at restoring articular congruity and the metaphyseo-diaphsyeal dissociation (MDD)—both of these are equally important to long-term outcome. Both internal and external fixations have their proponents, and each method of treatment is associated with its unique features and complications. We review the initial and definitive management of these injuries, and the advantages and disadvantages of each method of definitive fixation. We suggest the use of a protocol for definitive management, using either internal or external fixation as deemed appropriate. This protocol is based on the fracture configuration, local soft tissue status and patient condition. In a nutshell, if the fracture pattern and soft tissue status are amenable plate fixation (single or double) is performed, otherwise limited open reduction and articular surface reconstruction with screws and circular frame is performed.
publisher Medknow Publications
publishDate 2011
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3051117/
_version_ 1611443497670279168

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