LIGAMENTOTAXIS WITH ILIZAROV TECHNIQUE IN FRACTURES OF TIBIAL PLATEAU

BACKGROUND: The results of the eight patients who admitted to emergency room with tibial plateau fractures and treated with Ifizarov technique, were retrospective evaluated both clinically and radiologically.
METHODS: Seven (87%) men and one (13%) woman ranging in age from 23 to 38, were Bvaluated. All the cases were between type IV to VI according to Hohl classification preoperatively. Closed indirect reduction by ligamentotaxis was attempted in all fractures, no open technique was performed.
RESULTS: Three (38%) cases had open fractures (type I according to Gustilo- Andersen Classification) preoperatively. Six (75%) traffic accident and two (25%) fallingfrom a height were detected as etiology. The cases, whose average follow up was 14 (6- 28) months, were evaluated according to Iowa knee score scale and seven (87%) cases were good and excellent. Both clinical and radiological solid fusion were obtained in all cases after removing the frame. Although all the cases had minimal to moderate pin tract infection, all were resolved with dressing and oral antibiotherapy without removing the wires.
CONCLUSION: Closed reduction with Ifizarov technique is appropriate for treatment of plateau tibia fractures with minimal morbidity.