J Korean Fract Soc.  2004 Jul;17(3):230-236. 10.12671/jkfs.2004.17.3.230.

Treatment of Tibial Plateau Fractures using Ilizarov Fixation (Schatzker Type IV, V, VI)

• Park HG
• Yoo MJ
• Kim MH
• Byun WS
• Chun JY

• KMID: 1583676
• DOI: http://doi.org/10.12671/jkfs.2004.17.3.230

Abstract

PURPOSE: To evaluate the effectiveness of Ilizarov fixation in tibial plateua fractures (Schatzker type IV, V, VI), the clinical and radiological results were analysed retrospectively.
MATERIALS AND METHODS
Of the tibial plateau fractures (Schatzker type IV, V, VI) which had been treated by using Ilizarov fixatrion method at Dankook university from June 1995 to June 2004, we clinically, radiologically analysed the 47 cases with follow-up study of a mean 38 months. Overall results which were evaluated according to Blokker's evaluation system.
RESULTS
The average start time of the range of motion excercise was 4.2 weeks, and the average start time of partial weight bearing was 4.6 weeks. Results which were evaluated according to Blokker's evaluation systems were "satisfactory" in 8 cases (80%) of the type IV fractures, in 9 cases of the type V fracures, and in 18 cases (69%) of the type VI. Overall results were "satisfactory" in 35 cases (74.4%), "unsatisfactory" in 12 cases (25.5%).
CONCLUSION
When use Ilizarov fixation in tibial plateau fracture (Schatzker type IV, V, VI), we have many advantages that the early start time of the range of motion, the early start time of weight bearing, the acceptable results of Blokker's evaluation system. Therefore, we conclude that Ilizarov fixation in tibial plateua fracure (Schatzker type IV, V, VI) is effective.

Keyword

Tibial plateua fracture; Ilizarov fixation; Schatzker type IV; V; VI

MeSH Terms

Follow-Up Studies
Range of Motion, Articular
Retrospective Studies
Weight-Bearing