Open Reduction with Internal Fixation (ORIF) versus Hybrid Circular External Fixator (HCEF) as the Treatment of Choice for Bicondylar Tibial Plateau Fractures : A Systematic Review and Meta-Analysis

Open reduction and internal fixation compared with circular fixator application for bicondylar tibial plateau fractures. Surgical technique.

BACKGROUND Standard open reduction and internal fixation techniques have been successful in restoring osseous alignment for bicondylar tibial plateau fractures; however, surgical morbidity, especially soft-tissue infection and wound necrosis, has been reported frequently. For this reason, several investigators have proposed minimally invasive methods of fracture reduction followed by circular e...

Multicenter, Prospective, Randomized Clinical Trial Application for Bicondylar Tibial Plateau Fractures. Results of a Open Reduction and Internal Fixation Compared with Circular Fixator

Comparison of outcomes of operatively treated bicondylar tibial plateau fractures by external fixation and internal fixation.

ABSTRACT The outcome of bicondylar tibial plateau fractures treated with either external fixation (35 patients) or internal fixation (24 patients) was reviewed. Outcome measures included the Rasmussen score, clinical complications, development of osteoarthritis and the requirement for total knee replacement (TKR). Twenty-two (92%) anatomical reductions were achieved in the internal fixation gro...

Open reduction and internal fixation of 117 tibial plateau fractures.

This retrospective study evaluated the surgical management of 117 tibial plateau fractures treated between 1990 and 1998. At last patient follow-up, results were rated good to excellent in 94, fair in 13, and poor in 10 cases. Follow-up radiographs showed degenerative changes in the lateral compartment in 29 cases. Other complications included five wound infections, two deep venous thromboses, ...

External fixation versus open reduction and internal fixation for tibial pilon fractures: A meta-analysis based on observational studies

PURPOSE Tibial pilon fractures remain challenging for an orthopaedic surgeon to repair. External fixation (ExFix) and open reduction and internal fixation (ORIF) are two widely used methods for repairing tibial pilon fractures. However, conclusions of comparative studies regarding which method is superior are controversial. Our aim is to compare ORIF and ExFix and clarify which method is better...