TY - JOUR
T1 - Operative treatment of extra-articular proximal tibial fractures
AU - Bhandari, Mohit
AU - Audige, Laurent
AU - Ellis, Thomas
AU - Hanson, Beate
AU - Tornetta, Paul
AU - Schemitsch, Emil
AU - Swiontkowski, Marc F.
AU - Dirschl, Douglas
AU - Sanders, David
AU - Kreder, Hans J.
AU - Obremskey, William
AU - Mckee, Michael
N1 - Copyright:
Copyright 2008 Elsevier B.V., All rights reserved.
PY - 2003/9
Y1 - 2003/9
N2 - Background: Extra-articular proximal tibial fractures are often the result of high-energy trauma with displacement and comminution. Most authors agree that operative management of these fractures is warranted to optimize patient outcomes. It is unclear, however, which surgical option (plate, nail, external fixator, or combination) is preferable. Objective: To evaluate the effect of alternative operative techniques in the management of extra-articular proximal third tibial fractures on rates of nonunion, malunion, infection, compartment syndrome, and implant failure. Highest Available Evidence: 1 Intramedullary nail (level 3 prospective case series) 2 Plates (level 3 prospective case series) 3 External fixator (level 4 case series) Study Identification: 1 Cochrane Database: 0 articles 2 PubMed Search: Proximal tibial fractures: 568 hits; And external fixation: 69 hits; And plate: 103 hits; And intramedullary nail: 77 hits Clinical queries search: proximal tibial fracture (specificity/therapy): 1 hit; proximal tibial fracture (sensitivity): 24 hits Systematic reviews: 3 hits (none relevant) 3 OTA website abstract database: 8 abstracts Total number potentially relevant articles: 29 (following review of all study titles and abstracts) Total number included after review: 17 (1-17).
AB - Background: Extra-articular proximal tibial fractures are often the result of high-energy trauma with displacement and comminution. Most authors agree that operative management of these fractures is warranted to optimize patient outcomes. It is unclear, however, which surgical option (plate, nail, external fixator, or combination) is preferable. Objective: To evaluate the effect of alternative operative techniques in the management of extra-articular proximal third tibial fractures on rates of nonunion, malunion, infection, compartment syndrome, and implant failure. Highest Available Evidence: 1 Intramedullary nail (level 3 prospective case series) 2 Plates (level 3 prospective case series) 3 External fixator (level 4 case series) Study Identification: 1 Cochrane Database: 0 articles 2 PubMed Search: Proximal tibial fractures: 568 hits; And external fixation: 69 hits; And plate: 103 hits; And intramedullary nail: 77 hits Clinical queries search: proximal tibial fracture (specificity/therapy): 1 hit; proximal tibial fracture (sensitivity): 24 hits Systematic reviews: 3 hits (none relevant) 3 OTA website abstract database: 8 abstracts Total number potentially relevant articles: 29 (following review of all study titles and abstracts) Total number included after review: 17 (1-17).
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U2 - 10.1097/00005131-200309000-00013
DO - 10.1097/00005131-200309000-00013
M3 - Article
C2 - 14504586
AN - SCOPUS:10744226408
VL - 17
SP - 591
EP - 595
JO - Journal of Orthopaedic Trauma
JF - Journal of Orthopaedic Trauma
SN - 0890-5339
IS - 8
ER -