Comparison of therapeutic results of plateau tibia fracture by hybrid method with double-plate classic methods

• Published in: Biomedical and Biotechnology Research Journal Vol. 2; no. 4; pp. 260 - 264
• Main Authors: Azar, Masoud, Mojrian, Vahid, Kariminasab, Mohammad, Ghaffari, Salman
• Format: Journal Article
• Language: English
• Published: Medknow Publications and Media Pvt. Ltd 01.10.2018; Wolters Kluwer Medknow Publications
• Subjects: Care and treatment; Comparative analysis; Double-plate; Fractures; Health aspects; hybrid method; Internal fixation in fractures; Methods; therapeutic; tibia
• ISSN: 2588-9834; 2588-9842
• DOI: 10.4103/bbrj.bbrj_118_18

Background: Finding and choice the best treatment for the plateau tibia complex fracture has always been discussed. The present study aimed to compare the therapeutic outcomes of the external hybrid fixation method with a double-plate classic method in the treatment of plateau tibia complex fracture. Methods: Forty patients with plateau tibia complex fracture were treated with either a double plate or an external hybrid fixation. A knee score and clinical-functional table were used to evaluate patients after surgery. Level of evidence for this article is level one. Results: Knee score in the double and hybrid group was good to excellent in 60% and 75% of patients, respectively (P = 0.675). In patients, the union was formed correctly and skin necrosis was not observed in any of the cases. There were no significant differences between the two groups in the complications. In the double group, the risk of deep infection of the surgical site was 2.33 times in the patients. The pin-tract infection was observed in only 8 patients (40%) of the hybrid group. Depression was observed in 5 patients in the double group (25%) and 9 patients in the hybrid group (45%) (P > 0.05). Conclusion: In the treatment of plateau tibia complex fracture, both double plate and external hybrid fixation methods have almost the same therapeutic results and complications. However, the rate of pin-tract infection in the external hybrid surgical technique of fixation and the degree of deep infection is more common in double-plate surgery.