Syed Abdhahir, A (2015) A Retrospective and Prospective Study on Analysis of Clinical Outcome of Knee Sparing Fixation after Temporary Knee Spanning External Fixation. Masters thesis, Madras Medical College, Chennai.
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Abstract
Compound periarticular knee injuries are difficult to treat. Compound periarticular knee injury occurs usually due to high energy/velocity trauma. There is an increase in the occurrence of compound periarticular knee injuries due to the increase in the number of road traffic accidents. These injuries are always associated with high morbidity. Most of these injuries result in some permanent disability. Immediate open reduction and internal fixation of these high velocity injuries were associated with larger rates of deep seated infection and even amputation. These patients should undergo staged intervention with initial temporary knee spanning external fixation. Early planned conversion from temporary knee spanning external fixator to definitive knee sparing internal or external fixation is necessary to get optimal out come in union and knee function. For this study 30 patients with high energy periarticular knee fractures were included. All these patients were treated with initial temporary knee spanning external fixation and then converted to definitive knee sparing internal or external fixation. The overall functional outcome was assessed using knee society score. The results show 8 patients (26.67%) with excellent outcome, 5 patients (16.67%) with good outcome, 8 patients (26.67%) with fair outcome and 9 patients (30%) with poor outcome. The most important factors which determine the functional outcomes were the type of fractures (open or closed), nature of comminution including intra articular extensions, timing of fixations and postoperative infections. Duration of initial knee spanning external fixator and final knee range of motion have statistically significant association.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Compound periarticular knee injuries ; knee spanning external Fixation ; definitive knee sparing fixation ; knee society score ; comminution. |
| Subjects: | MEDICAL > Orthopaedics |
| Depositing User: | Subramani R |
| Date Deposited: | 25 Sep 2017 01:04 |
| Last Modified: | 25 Sep 2017 01:04 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/3306 |
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