• Eur J Trauma Emerg Surg · Apr 2022

    A comparison of clinical, radiological, and quality-of-life outcomes of double-plate internal and Ilizarov external fixations for Schatzker type 5 and 6 tibia plateau fractures.

    • Sinan Oguzkaya, Abdulhamit Misir, Turan Bilge Kizkapan, Gokay Eken, Mustafa Ozcamdalli, and Seckin Basilgan.
    • Department of Orthopedics and Traumatology, Sarkisla State Hospital, Yildirim Mah. Alper Tunga Cad. Kalecity evleri B blok No:6, 58400, Sivas, Turkey. sinanoguzkaya@hotmail.com.
    • Eur J Trauma Emerg Surg. 2022 Apr 1; 48 (2): 1409-1416.

    PurposeTo compare clinical, functional, and radiological outcomes in patients with bicondylar tibial fractures treated with either double-plate or Ilizarov external fixation.MethodsPatients with Schatzker type 5 and 6 tibial plateau fractures who were treated with double-plate (Group O) and Ilizarov external fixations (Group E) between March 2012 and April 2018 were selected. Demographic data and preoperative, intraoperative, and postoperative variables were analyzed and compared. In the last follow-up, the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Oxford Knee Score (OKS), Knee Society Score-Knee (KSS-Knee), KSS-Function (KSS-F), and Short-Form Health Survey (SF-36) were used to measure clinical and functional outcomes. Treatment costs and complication rates were also recorded and compared.ResultsA total of 64 patients (43 men and 21 women) were included in the study (group O: 36, group E: 28). WOMAC, KSS-F, KSS-Knee, and OKS scores were similar between the two groups (P > 0.05). The role limitations due to emotional problems, emotional well-being, and social functioning domains of SF-36 were higher in group O (P < 0.001). Three (8.3%) deep infections occurred in group O, whereas no deep infection was observed in group E (P = 0.035). The treatment cost was higher in group O (P < 0.001).ConclusionIn bicondylar tibial plateau fractures, functional outcomes of ORIF and Ilizarov method milar were sibut, role limitations due to emotional problems, emotional well-being and social functioning domains of SF-36 score were higher in ORIF group. However, Ilizarov method is more cost-effective and related with lesser complications.© 2021. Springer-Verlag GmbH Germany, part of Springer Nature.

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