BioMedica |

Original Article

VOLUME: 40 | ISSUE: 1 | Mar 25, 2024 | PAGE: (55 - 60) | DOI: 10.24911/BioMedica/5-1138

Comparison of Functional Outcome Between Locking Plate Technique Versus Hybrid Ilizarov Technique in Patients with Complex Tibial Plateau Fractures

Authors: Baqir Jafree , Adeel Hamid , Shuja Uddin , Sher Afghan , Shoaib Saleem , Muhammad Khalid Syed

Article Info

Authors

Baqir Jafree

Assistant Professor, Department of Orthopedic Surgery, Jinnah Hospital, Lahore, Pakistan.

Adeel Hamid

Assistant Professor, Department of Orthopedic Surgery, Lahore General Hospital, Lahore, Pakistan.

Shuja Uddin

Consultant Orthopedic Surgeon, Lahore General Hospital, Lahore, Pakistan.

Sher Afghan

Assistant Professor, Department of Orthopedic Surgery, Services Institute of Medical Sciences, Lahore, Pakistan.

Shoaib Saleem

Consultant Orthopedic Surgeon, Continental Medical College, Lahore, Pakistan.

Muhammad Khalid Syed

Professor of Orthopedic Surgery, Lahore General Hospital, Lahore, Pakistan.

Publication History

Received: January 20, 2024

Revised: February 18, 2024

Accepted: March 15, 2024

Published: March 25, 2024

Abstract

Background and Objective: Schatzker type V or VI tibial plateau fractures pose complicated surgical problems, with potential complications including neurovascular injury, compartment syndrome, and soft-tissue and ligament damage. Successful treatment requires regenerating articular cartilage, maintaining biological integrity, realigning the mechanical axis, stabilizing the joint, and preserving mobility. This study compares the functional outcomes of two approaches, the locking plate technique and the hybrid Ilizarov technique, in managing complicated tibial plateau fractures.
Methods: This cross-sectional study was conducted on 78 patients presenting with proximal tibial complex fracture at the Orthopedic Surgery Department of Jinnah Hospital, Lahore. Patients were divided into two groups, Group A received the Hybrid Ilizarov Technique while Group B received the locking plate technique as a treatment modality for their fracture. Data were analyzed using statistical software with a p-value <0.05 as significant.
Results: In Group A (Hybrid Ilizarov Technique), 84.6% of males and 15.4% of females participated, while Group B (locking plate technique) had 82.1% of males and 17.9% of females. Type VI fractures were the most common in both groups. Postoperative Rasmussen’s clinical functional knee score was higher in Group B (24.90 ± 4.266) as compared to Group A (22.23 ± 5.783). Functional outcome was reported as excellent in 46.2% of patients of Group A as compared to 30.8% of patients of Group B suggesting the supremacy of the locking plate technique in treating complex tibial plateau fractures.
Conclusion: The locking plate technique is a more reliable method for treating complex proximal tibial fractures than the hybrid Illizarov technique.

Keywords: Tibia, fracture, external fixation,

Pubmed Style

Baqir Jafree, Adeel Hamid, Shuja Uddin, Sher Afghan, Shoaib Saleem, Muhammad Khalid Syed. Comparison of Functional Outcome Between Locking Plate Technique Versus Hybrid Ilizarov Technique in Patients with Complex Tibial Plateau Fractures. BioMedica. 2024; 25 (March 2024): 55-60. doi:10.24911/BioMedica/5-1138

Web Style

Baqir Jafree, Adeel Hamid, Shuja Uddin, Sher Afghan, Shoaib Saleem, Muhammad Khalid Syed. Comparison of Functional Outcome Between Locking Plate Technique Versus Hybrid Ilizarov Technique in Patients with Complex Tibial Plateau Fractures. https://biomedicapk.com/articles/online_first/1138 [Access: April 29, 2024]. doi:10.24911/BioMedica/5-1138

AMA (American Medical Association) Style

Vancouver/ICMJE Style

Baqir Jafree, Adeel Hamid, Shuja Uddin, Sher Afghan, Shoaib Saleem, Muhammad Khalid Syed. Comparison of Functional Outcome Between Locking Plate Technique Versus Hybrid Ilizarov Technique in Patients with Complex Tibial Plateau Fractures. BioMedica. (2024), [cited April 29, 2024]; 25 (March 2024): 55-60. doi:10.24911/BioMedica/5-1138

Harvard Style

Baqir Jafree, Adeel Hamid, Shuja Uddin, Sher Afghan, Shoaib Saleem, Muhammad Khalid Syed (2024) Comparison of Functional Outcome Between Locking Plate Technique Versus Hybrid Ilizarov Technique in Patients with Complex Tibial Plateau Fractures. BioMedica, 25 (March 2024): 55-60. doi:10.24911/BioMedica/5-1138

Chicago Style

Baqir Jafree, Adeel Hamid, Shuja Uddin, Sher Afghan, Shoaib Saleem, Muhammad Khalid Syed. "Comparison of Functional Outcome Between Locking Plate Technique Versus Hybrid Ilizarov Technique in Patients with Complex Tibial Plateau Fractures." 25 (2024), 55-60. doi:10.24911/BioMedica/5-1138

MLA (The Modern Language Association) Style

APA (American Psychological Association) Style

Baqir Jafree, Adeel Hamid, Shuja Uddin, Sher Afghan, Shoaib Saleem, Muhammad Khalid Syed (2024) Comparison of Functional Outcome Between Locking Plate Technique Versus Hybrid Ilizarov Technique in Patients with Complex Tibial Plateau Fractures. , 25 (March 2024), 55-60. doi:10.24911/BioMedica/5-1138