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Malreduction of tibial articular width in bicondylar tibial plateau fractures treated with circular external fixation is associated with post-traumatic osteoarthritis.

ABSTRACT:

Objectives

We aimed to report outcomes of Bicondylar Tibial Plateau (BTP) fractures treated using Ilizarov fixation, and identify risk factors for developing post-traumatic radiographic osteoarthritis (ROA).

Methods

Retrospective study of 80 BTP fractures managed with Ilizarov fixation.

Results

All fractures united, with only 3 cases of deep infection. ROA was evident in 12.5% at average 13 months post-injury. Increased tibial articular-widening associated with risk of developing ROA (p?=?0.02).

Conclusion

Ilizarov fixation is safe and reliable in the management of BTP fractures. Restoration of tibial articular-width at fixation associated with reduced risk of developing radiographic OA.

SUBMITTER: Thiagarajah S

PROVIDER: S-EPMC6325158 | biostudies-literature | 2019 Jan-Feb

REPOSITORIES: biostudies-literature

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Malreduction of tibial articular width in bicondylar tibial plateau fractures treated with circular external fixation is associated with post-traumatic osteoarthritis.

Thiagarajah Shankar S Hancock Graeme E GE Mills Edward J EJ McGregor-Riley Jonathan C JC Royston Simon L SL Dennison Michael G MG

Journal of orthopaedics 20190104 1

<h4>Objectives</h4>We aimed to report outcomes of Bicondylar Tibial Plateau (BTP) fractures treated using Ilizarov fixation, and identify risk factors for developing post-traumatic radiographic osteoarthritis (ROA).<h4>Methods</h4>Retrospective study of 80 BTP fractures managed with Ilizarov fixation.<h4>Results</h4>All fractures united, with only 3 cases of deep infection. ROA was evident in 12.5% at average 13 months post-injury. Increased tibial articular-widening associated with risk of deve ...[more]

PMID: 30662246

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