Técnica para fraturas de alta energia do planalto tibial utilizando fixação interna mínima e fixador externo híbrido
Keywords:
Externai fixators, Fracture fixation, Tibial fracturesAbstract
High energy fractures of the tibial plateau are followed by severe lesions of soft tissues, and a great part of them are open fractures. So then is necessary a method of treatment that is less aggressive to rhe tissues and that offer stability. This study aimed to demonstrate a less aggressive technique, easily reproducible and that allows early mobility and manipulation of the affected limb using the hybrid externa! fixator associated with minimally invasive osteosynthesis.
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References
Rittman ww, SchibliM,Matter P, AllgowerM. Open fractures: long-term results in 200 consecutive cases. Clin Orthop 1979; 138: 132-40.
Perry CR, Evans LG, Rice S, FogartyJ, Bridge RE. A new surgical approach to fractures of the lateral tibial plateau. J Bone Joint Surg [Am] 1984;66: 1236-40.
Moore TM, PatzakisMJ, Harvey JP. Tibial plateau fractures: definition, demographics, treatment rationale, and long term results of closed traction management or operative reduction. J Orthop Trauma 1987; 2: 97-119.
Schatzker J. Fractures of the tibial plateau. ln: Schatzker J. Tile M, eds . Rationale of operative fracture care. Berlin: 27 Springer- Verlag 1987: 279-95.
Stokel EA, Sadesivan KK. Tibial plateau fractures. Orthopedics 1991; 14; 263:70.
Uhl RI, Goldstock L, Carter AT, Lozman J. Hybrid externa! fixation for bicondylar tibial plateau fractures. Presented at the 61 st MOS meeting. New Orleans, Louisiana, 1994.
Murphy CP, D'Ambrosia R, Dabezies EJ. The Small pin circular fixator for proximal tibial fractures with soft tissue compromise. Orthopedics 1991; 14: 273-80.
Tscherne H, Lobenhoffer P. Tibial plateau fractures: management and expected results. Clin Orthop 1993; 292: 87-100.
Carr JB, Surgical techniques useful in the treatment ofcomplex periarticular fractures ofthe lower extremity. Orthop Clin North Am 1994; 25: 613-24.
Starner DT, Schenk R, Staggers B, et a!, Bicondylar tibial plateau fractures treated with a hybrid ring externa! fixator: a preliminary study. J. Orthop Trauma 1994; 8: 455-61.
Watson JT. High energy fractures ofthe tibial plateau. Orthop Clin North Am 1994; 25: 723-5.
Benirschke SK, Agnew SG, Mayo KA, Santoro VM, Henley MB. Immediate interna! fixation ofopen, complex tibial plateau fractures: treatment by a standard protocol. J Orthop Trauma 1992; 6: 78-86.
Catagni M. Fractures ofthe leg (tibia). ln: Maiocchi AB, Aronson J. eds. Operative principies ofllizarov. Baltimore, Willians and Wilkins, 1991; 91-124.
Ilizarov GA. The treatment offractures, theoretical considerations, experimental studies and clinica! applications of the apparatus. In: Ilizarov GA, Green SA, eds. Transosseous osteossynthesis: theoretical and clinica! aspects ofthe regeneration and growth oftissue. Berlin: Springer-Verlag, 1992: 369-452.
Reibel DB, Wade PA. Fractures ofthe tibial plateau. J Trauma 1962;2: 337-52.
Roberts JM. Fractures ofthe condyles ofthe tibia: an anatomical and clinica! end-result study ofone hundred cases. J. Bone Joint Surg [Am] 1968; 50: 1505-21.
Rasmussen PS. Tibial condylar fractures: impairment ofknee joint stability as an indication for surgical treatment. J. Bone Joint Surg [Am] 1973; 55: 1331-50.
Schulak DJ, Gunn DR. Fractures ofthe tibial plateaus: a review ofthe literature. Clin Orthop 1975; 109: 166-77.
Hohl M, Hopp E. Jr. Ligament injuries in tibial condylar fractures. J. Bone Joint Surg [Am] 1976; 58: 279.
Hohl M, Luck J. Fractures ofthe tibial condyle: a clinica! and experimental study. J Bone Joint Surg [Am] 1956; 38:1001-18.
Dejour H, Chambat P, Caton J, Melere G. Ligamentous tears associated with tibial fractures. Rev Chir Orthop Reparatrice Appar Mot 1991; 67: 593-9.
Lansinger O, Bergman B, Kõrner L, Andersen GBJ. Tibial condylar fractures: a 20-year follow-up. J Bone Joint Surg [Am] 1986; 68: 13-8.
Shelton ML, Neer CS, Grantharn SA. Ocult knee ligarnent ruptures associated with fractures. J Trauma 1971; 11:853-6.
Wilppula E, Bakalim G. Ligarnentous tear concomitant with tibial condylar fracture. Acta Orthop Scand 1972; 43:292-300.
Delarnarter Rb, Hohl M, Hopp E Jr. Ligarnent injuries associated with tibial plateau fractures. Clin Orthop 1990; 250: 226-33.
Apley AG. Fractures ofthe lateral tibial condyle treated by skeletal traction and early mobilization: a review ofsixty cases with special reference to the long-term results. J Bone Joint Surg [Br] 1956; 38: 699-708.
Apley AG. Fractures ofthe tibial plateau. Orthop Clin North Am 1979; 10: 61-74.
Gausewitz S, Hohl M. The significance ofearly motion in the treatment oftibial plateau fractures. Clin Orthop 1986; 202: 135-8.
Burri C, Bartzke G, Coldeway J, Muggler E. Fractures ofthe tibial plateau. Clin Orthop 1979; 138: 84-93.
