[Use of the Dynastab-K (knee) external fixator technique for functional treatment of intra- and peri-articular fractures of the knee joint].
The aim of this study was to validate the results of treatment of articular fractures using a Dynastab-K (knee) external fixator, which gives a good stabilisation, while retaining motion in the knee joint. A group of 6 patients with articular fractures of the knee joint was evaluated. Two fractures were located within the distal femur and 4 within the tibial plateau. After anatomical reposition of the bone fragments primary stabilisation was achieved by means of the Dynastab-K fixator and maintained for a period of 8-10 weeks. Passive motion of the knee was implemented in the first post-op day and active motion was implemented in the third post-op day. In all cases proper healing of the fractures, full extension and a minimally limited flexion (100 degrees) were achieved. Flexion limitation was corrected by means of an intensive rehabilitation programme. Use of the presented technique allows proper stabilisation of the bone fragments with maintenance of joint motion throughout treatment. Basing on our observations we concluded that implementation of an articulated external fixator in articular fractures of the knee leads to proper fracture healing with minimal loss of motion, which can be resolved by rehabilitation procedures.
Deszczyński
J
J
Oddział Ortopedyczno-Urazowy, Szpital Czerniakowski w Warszawie.
Szczesny
G
G
Karpiński
J
J
D016267:External Fixators; D005264:Femoral Fractures / Q000628:therapy*; D017102:Fracture Healing; D006801:Humans; D007718:Knee Injuries / Q000628:therapy*; D007719:Knee Joint / Q000503:physiopathology; D016059:Range of Motion, Articular; D013978:Tibial Fractures / Q000628:therapy*; D016896:Treatment Outcome