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7. To Compare Plating Versus Ilizrov External Fixation Approaches in the Management of Schatzker Type VI Tibial Plateau Fracture
Mohsin Aijaz Soomro, Faheem Ahmed Memon, Irshad Ahmed, Abbas Memon and Muhammad Ayub Laghari
ABSTRACT
Objectives: To compare plating versus Ilizrov external fixation approaches in the management of Schatzker type VI tibial plateau fracture.
Study Design: Cross sectional study.
Place and Duration of Study: This study was conducted at the Department of Orthopaedics at Liaquat Medical University Hospital Hyderabad/Jamshoro from 25.07.2015 to 24.06.2016.
Materials and Methods: All the relevant patients will be admitted to the orthopaedic unit I with schatzker Grade VI tibial plateau fractures, either through casualty or throughout patient department, then divided into two groups (Group 1: Plating management, Group 2: Iliazrov. Schatzker grade I TO V, Open fractures of tibia that requires any kind of flap to cover the naked bone and pathological fracture were excluded from this study.
Results: 40 patients of Schatzker type VI fractures were evaluated from which (70%) were male and (30%) were female patients mean age of study subjects was 40.22±11.19 years, with range 18–60 years. Mean age for plating group were 39.22±5.19. 32 (80%) patients had their fracture due to Road Traffic Accident (RTA). The mean time of partial weight bearing (in weeks) was 6.50 ±2.68 weeks (range 6-8 weeks). The mean time of full weight bearing (in weeks) was 15.50±3.20 weeks (range 12-30 weeks). The mean time of union was 10.15 ±2.50 weeks (range 5-20 weeks). The mean time of follow up for the outcome assessment from primary surgery was 25.50±3.50 months (range 17-53 months). The mean hospital stays (in days) was 24.12±4.15 days (range 10 – 30 days). 24 (60%) patients had excellent functional outcome, 10 (25%) patients from plating group and 14 (35%) from Ilizrov group, 12 (30%) patients had good functional and 4 (10%) patients had poor functional results 2 (%) patients from plating group and 2 (5%) patients from Ilizrov group. Over all 13 (32.5%) patients had developed complications, 2 (5%) patients had infected original wound, 4 (10%) patients had pin tract or screw site infection, 9 (22.5%) patients complain pain during walking.
Conclusion: Both modalties of treatment have good functional results in different circumstances.
Key Words: Tibial plateau Fracture, Schatzker Type VI, fracture, Buttress plates, Ilizrove, external fixator.
Citation of article: Soomro MA, Memon FA, Ahmed I, Memon A, Laghari MA. To Compare Plating Versus Ilizrov External Fixation Approaches in the Management of Schatzker Type VI Tibial Plateau Fracture. Med Forum 2017;28(4):26-29.