Abstract
The biomechanical data support the use of tensioned wire fixation to stabilize complex fractures of the proximal tibia. The authors have shown that the stability of a four-wire construct is comparable to the gold standard of dual plating internal fixation techniques. Using these techniques many recent investigators have demonstrated improved clinical results, with average knee scores (Knee Society Rating System) for most patients ranging from 85 to 90. More important is that these studies continue to show decreases in the rates of major wound complications or residual osteomyelitis; these decreases had occurred with traditional ORIF techniques despite the fact that approximately one third of cases in these series were open injuries. With these data available, small wire hybrid fixation positioned in a stable frame configuration is an additional tool that should be considered for complex proximal tibial injury.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 199-209 |
| Number of pages | 11 |
| Journal | Orthopedic Clinics of North America |
| Volume | 33 |
| Issue number | 1 |
| DOIs | |
| State | Published - 2002 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Surgery
- Orthopedics and Sports Medicine
Cite this
Hybrid external fixation for tibial plateau fractures : Clinical and biomechanical correlation. / Watson, J. Tracy; Ripple, Steve; Hoshaw, Susan J.; Fyhrie, David P.
In: Orthopedic Clinics of North America, Vol. 33, No. 1, 2002, p. 199-209.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Hybrid external fixation for tibial plateau fractures
T2 - Clinical and biomechanical correlation
AU - Watson, J. Tracy
AU - Ripple, Steve
AU - Hoshaw, Susan J.
AU - Fyhrie, David P
PY - 2002
Y1 - 2002
N2 - The biomechanical data support the use of tensioned wire fixation to stabilize complex fractures of the proximal tibia. The authors have shown that the stability of a four-wire construct is comparable to the gold standard of dual plating internal fixation techniques. Using these techniques many recent investigators have demonstrated improved clinical results, with average knee scores (Knee Society Rating System) for most patients ranging from 85 to 90. More important is that these studies continue to show decreases in the rates of major wound complications or residual osteomyelitis; these decreases had occurred with traditional ORIF techniques despite the fact that approximately one third of cases in these series were open injuries. With these data available, small wire hybrid fixation positioned in a stable frame configuration is an additional tool that should be considered for complex proximal tibial injury.
AB - The biomechanical data support the use of tensioned wire fixation to stabilize complex fractures of the proximal tibia. The authors have shown that the stability of a four-wire construct is comparable to the gold standard of dual plating internal fixation techniques. Using these techniques many recent investigators have demonstrated improved clinical results, with average knee scores (Knee Society Rating System) for most patients ranging from 85 to 90. More important is that these studies continue to show decreases in the rates of major wound complications or residual osteomyelitis; these decreases had occurred with traditional ORIF techniques despite the fact that approximately one third of cases in these series were open injuries. With these data available, small wire hybrid fixation positioned in a stable frame configuration is an additional tool that should be considered for complex proximal tibial injury.
UR - http://www.scopus.com/inward/record.url?scp=0036196784&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0036196784&partnerID=8YFLogxK
U2 - 10.1016/S0030-5898(03)00080-4
DO - 10.1016/S0030-5898(03)00080-4
M3 - Article
C2 - 11832321
AN - SCOPUS:0036196784
VL - 33
SP - 199
EP - 209
JO - Orthopedic Clinics of North America
JF - Orthopedic Clinics of North America
SN - 0030-5898
IS - 1
ER -