Cannulated screw and hexapodal fixator reconstruction for compound upper tibial fractures
Metin Uzun1, Fikri Erkal Bilen2, Levent Eralp3
1Acıbadem Maslak Hospital, Istanbul, Turkey, Acıbadem Maslak Hospital. Trauma Surgery, Sarıyer, Istanbul, Turkey.
Objectives:
The aim of the treatment of tibial plateau fractures is to obtain a pain-free and fully functional knee with closed reduction, percutaneous cannulated screw fixation and hexapodal external fixator reconstruction for high energy compound upper tibial fractures.
Methods:
Patients with comminuted tibial plateau fractures underwent closed reduction, percutaneous fixation with cannulated screws, and reconstruction with hexapodal external fixator. The follow-up period was 24 months.
Results:
The clinical and radiological results were good or excellent. The average knee flexion was 125°.
Conclusion:
Our results are successful in the initial stage, however, it should be pointed out that during the long term follow-up osteoarthritis may develop leading to worsening of the condition. Level of Evidence IV, Case Series.
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