scholarly journals External versus internal fixation for bicondylar tibial plateau fractures: systematic review and meta-analysis

2015 ◽  
Vol 16 (4) ◽  
pp. 275-285 ◽  
Author(s):  
David Metcalfe ◽  
Craig J. Hickson ◽  
Lesley McKee ◽  
Xavier L. Griffin
Keyword(s):  
Systematic Review ◽  
Internal Fixation ◽  
Tibial Plateau ◽  
Meta Analysis ◽  
Tibial Plateau Fractures ◽  
Bicondylar Tibial Plateau

scholarly journals Treatment of choice for bicondylar tibial plateau fractures between open reduction with internal fixation versus hybrid circular external fixator: a systematic review

2020 ◽  
Vol 9 (1) ◽  
pp. 262
Author(s):  
I. Made Arya Susila ◽  
Sherly Desnita Savio ◽  
Cokorda Gde Oka Dharmayuda
Keyword(s):  
Systematic Review ◽  
Blood Loss ◽  
Internal Fixation ◽  
Functional Outcome ◽  
Open Reduction ◽  
Tibial Plateau ◽  
Operation Time ◽  
Tibial Plateau Fractures ◽  
Similar Operation ◽  
Bicondylar Tibial Plateau

The high complication rate is closely related to the incidence of bicondylar tibial plateau fractures (BTPF) due to the involvement of the articular surface. The aim of this study is to compare open reduction with internal fixation (ORIF) and hybrid circular external fixation (HCEF) as the choice of surgical procedure for BTPF because these two procedures is still controversial until now. A systematic review using Cochrane library, PubMed, and Google Scholar was conducted based on PRISMA guideline. Inclusion criteria were studies comparing HCEF and ORIF of BTPF. Studies of only one surgical technique modality, schatzker types I-IV tibial plateau fractures, and case reports were excluded, resulting in six included studies. There is no significant difference in radiographs, functional and anatomical outcomes in both group (ORIF vs HCEF). Complications that measured are higher infection rate found in the ORIF group. Blood loss was higher in the ORIF group, while both procedures have similar operation time and functional outcome. The mean of hospital length of stay (LoS) seems to be higher 6.83 days (95%CI 0.96-12.70; P<0.00001) on ORIF group from the random effect of forest plot evaluation. According to this study, HCEF is more beneficial in terms of blood loss and hospital LoS. But overall ORIF and HCEF carry similar operation time, functional outcome, union rate, and complication.

A meta-analysis of external fixation versus open reduction and internal fixation for complex tibial plateau fractures

2017 ◽  
Vol 39 ◽  
pp. 65-73 ◽  
Author(s):  
Xing-wen Zhao ◽  
Jian-xiong Ma ◽  
Xin-long Ma ◽  
Xuan Jiang ◽  
Yin Wang ◽  
...  
Keyword(s):  
Internal Fixation ◽  
External Fixation ◽  
Open Reduction ◽  
Tibial Plateau ◽  
Meta Analysis ◽  
Tibial Plateau Fractures
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