Treatment of fractures of the tibial plateau by transosseous osteosynthesis according to Ilizarov

Between 1994 and 2001 eighty eight patients with intraarticular tibial plateau fractures were treated at the Traumatology clinic of the Russian Mewdical Academy of Postgraduation Education on the base of Municipal Clinical Hospital # 15. All patients were operated on by Ilizarov’s transosseous osteosynthesis. Differentiated approach to the definition of the reposition type for the osteo-cartilagenous fragments and to the choice of the external fixation device assembly depending on fracture type, fragment displacement pattern, bone tissue state was realized. To fix a fracture the external fixation device with arch supports was assembled. In 9 patients knee arthroscopy was performed during operation to minimize the traumatization. To reduce the load on injured tibial plateau postoperatively 8 patients used brace-device worked out in the Clinic. Those schemes of treatment allowed to accelerate the patients’ rehabilitation and improve the outcomes. There were 87.5% excellent and good results, 9.1% satisfactory and 3.4% unsatisfactory ones.