This study evaluated the use of a staged protocol involving temporary spanning external fixation and delayed formal definitive fixation in the management of high-energy proximal tibia fractures (OTA types 41) with regard to soft-tissue management, development of complications, and functional outcomes. 53 patients with 57 high-energy tibial plateau fractures underwent immediate placement of knee spanning external fixation with management of soft-tissue injuries, followed by delayed definitive fixation. Complications included 3 (5%) deep wound infections, 2 (4%) nonunions, and 2 patients (4%) with significant knee stiffness. 9 patients (16%) underwent additional surgery. Range of knee motion at final follow-up was 1° to 106°. The mean WOMAC was 91. The authors recommend this technique in all high-energy intra-articular and extra-articular fractures of the proximal tibia.
Copyright remains with the authors and publisher.
This study evaluated the use of a staged protocol involving temporary spanning external fixation and delayed formal definitive fixation in the management of high-energy proximal tibia fractures (OTA types 41) with regard to soft-tissue management, development of complications, and functional outcomes. 53 patients with 57 high-energy tibial plateau fractures underwent immediate placement of knee spanning external fixation with management of soft-tissue injuries, followed by delayed definitive fixation. Complications included 3 (5%) deep wound infections, 2 (4%) nonunions, and 2 patients (4%) with significant knee stiffness. 9 patients (16%) underwent additional surgery. Range of knee motion at final follow-up was 1° to 106°. The mean WOMAC was 91. The authors recommend this technique in all high-energy intra-articular and extra-articular fractures of the proximal tibia.
Copyright remains with the authors and publisher.