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SAS Journal of Surgery | Volume-7 | Issue-03
An Outcome of Ligamentotaxis and Stabilization by Ilizarov External Ring Fixator in Tibial Plateau Schatzker Type V Fracture
Rahman MM, Mostafa DG, Arifuzzaman M, Haque MM, Maula MJ, Mostafa MB
Published: March 5, 2021 | 132 79
DOI: 10.36347/sasjs.2021.v07i03.001
Pages: 112-117
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Abstract
Introduction: The tibial plateau is a critical weight-bearing area located on the upper extremity of the tibia. Fractures of the plateau affect knee alignment, stability and motion. These fractures constitute approximately 1-2% of all fractures and typically occur in young individuals exposed to high-energy trauma caused by motor vehicle accidents or bumper strike injuries. The aim of our study was to evaluate the outcome of ligamentotaxis and stabilization by Iliazarov external ring fixator in tibial plateau Schatzker type V fracture. Methods: This prospective observational study was conducted at National Institute of Traumatology and Orthopaedic Rehabilittation (NITOR), Sher-e-Bangla nagar, Dhaka, Bangladesh in the period from July to June 2017. 25 cases with Schatzker type V tibial plateau fracture attending at emergency and outpatient department in NITOR were selected considering the inclusion and exclusion criteria. Ilizarov ring was used from local manufacturer and ring size is measured by ring templates. Follow up were done at OPD and also in Ilizarov clinic of NITOR at monthly interval up to complete fracture healing. Final evaluation was done according to Rasmussen Functional Grading Criteria. Data were collected with containing history, clinical examination, laboratory investigations, pre-operative, peri-operative, post -operative complications and postoperative follow-up findings. Data were compiled and tabulated according to key variables and functional assessment scoring. The analysis of different variable was done according to standard statistical analysis where the level of significance (P Value) was set at 0.05 by using SPSS version 22. Informed written consent was taken from the patient and patient's guardian after duly informing the procedure of treatment, anticipated result, possible advantages and disadvantages and complication considering all ethical issues. Protocol approved by ethical committee of National Institute of Traumatology............