Assessment of Functional Outcome in Open Knee Fractures -A Retrospective and Prospective Study
- 1. Director and Chief, Orthopaedic Surgeon, Department of Orthopaedics, Rex Ortho Hospital, Coimbatore, Tamil Nadu, India
- 2. Associate Professor, Department of Orthopaedics, KFMSR Medical College, Coimbatore, Tamil Nadu, India.
Description
Background: This study was conducted to examine how functional outcomes are assessed in cases of open knee fractures. Methods: This was a retrospective and prospective study carried out in a hospital setting among 25 patients who presented with open knee fractures treated in various ways at a tertiary care teaching hospital. Results: In our analysis of twenty patients, the most frequent fracture patterns were grade 3B fractures (40%), simple fractures (75%) and proximal tibia fractures (35%). According to the Rasmussen score, 80% of open knee fractures treated with various fixation techniques had fair to good results, while 20% had poor results. According to the subjective score, good results made up 35% and fair to poor results made up 65%. Poor outcomes occur from open grade 3B fractures, osteochondral fractures, intra-articular fractures, and fractures with flap covers. Conclusion: There are a variety of factors that affect the functional outcome of various open knee fractures treated with different fixation techniques. This includes long immobilisation times, porotic bones, severe soft tissue injuries, severely comminuted fractures, grade 3B fractures, intraarticular fractures, and associated injuries. When the procedure for managing open wounds, fracture repair techniques, early wound coverage, and effective rehabilitation is strictly followed, good outcomes can be obtained in various types of fractures.
Abstract (English)
Background: This study was conducted to examine how functional outcomes are assessed in cases of open knee fractures. Methods: This was a retrospective and prospective study carried out in a hospital setting among 25 patients who presented with open knee fractures treated in various ways at a tertiary care teaching hospital. Results: In our analysis of twenty patients, the most frequent fracture patterns were grade 3B fractures (40%), simple fractures (75%) and proximal tibia fractures (35%). According to the Rasmussen score, 80% of open knee fractures treated with various fixation techniques had fair to good results, while 20% had poor results. According to the subjective score, good results made up 35% and fair to poor results made up 65%. Poor outcomes occur from open grade 3B fractures, osteochondral fractures, intra-articular fractures, and fractures with flap covers. Conclusion: There are a variety of factors that affect the functional outcome of various open knee fractures treated with different fixation techniques. This includes long immobilisation times, porotic bones, severe soft tissue injuries, severely comminuted fractures, grade 3B fractures, intraarticular fractures, and associated injuries. When the procedure for managing open wounds, fracture repair techniques, early wound coverage, and effective rehabilitation is strictly followed, good outcomes can be obtained in various types of fractures.
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IJPCR,Vol16,Issue2,Article275.pdf
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Additional details
Dates
- Accepted
-
2024-02-22
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue2,Article275.pdf
- Development Status
- Active
References
- 1. Griffin M, Malahias M, Khan W, Hindocha S. Update on the management of open lower limb fracture. Open Orthopaedics Journal 2012;6 (Suppl 3):571-7. 2. Cross WW, Swiontkowski MF. Treatment principles in the management of open fractures. Indian Journal of Orthopaedics 2008;42 (4):377. 3. Gustilo RB, Merkow RL, Templeman D. The management of open fractures. J Bone Joint Surg Am 1990;72(2):299-304. 4. Mauffrey C, Bailey JR, Bowles RJ, Price C, Hasson D, Hak DJ, et al. Acute management of open fractures: proposal of a new multidisciplinary algorithm. Orthopedics 2012;35(10): 877-81. 5. Mauffrey C, Beazley JC. Open fractures and limb salvage. New York: Springer 2014. 6. Veith RG, Winquist RA, Hansen ST. Ipsilateral fractures of the femur and tibia: A report of fifty-seven consecutive cases. J Bone Joint Surg Am 1984;66(7):991-1002. 7. Katsenis DL, Dendrinos GK, Kontos SJ. High energy tibial plateau fractures treated with hybrid fixation: is knee bridging necessary? Orthopedics 2006;29(4):355. 8. Neer CS, Grantham SA, Shelton ML. Supracondylar fracture of the adult femur. A study of one hundred and ten cases. J Bone Joint Surg Am 1967;49(4):591-613. 9. Shatzker J, Lambert DC. Supracondylar fractures of the femur. Journal of Clinical Orthopaedics 1979; 138:77-83. 10. Stewart MJ, Sisk TD, Wallace SL. Fractures of the distal third of the femur. J Bone Joint Surg 1966;48(4):784-807. 11. Sharma C, Sharma A, Kalla R. Study of various treatment modalities and functional outcome for tibial plateau fractures. IJRRMS 20 13;3(3):27-30. 12. Stannard JP, Finkemeier CG, Lee J, Kregor PJ. Utilization of the less-invasive stabilization system internal fixator for open fractures of the proximal tibia: a multi-center evaluation. Indian Journal of Orthopaedics 2008;42(4):426. 13. Subasi M, Kapukaya A, Arslan H, Ozkul E, Cebesoy O. Outcome of open comminuted tibial plateau fractures treated using an external fixator. Journal of Orthopaedic Science 2007; 12(4):347-53. 14. Kim JW, Oh CW, Jung WJ, Kim JS. Minimally invasive plate osteosynthesis for open fractures of the proximal tibia. Clinics in Orthopedic Surgery 2012;4(4):313-20. 15. Barei DP, Beingessner DM. Open distal femur fractures treated with lateral locked implants: union, secondary bone grafting, and predictive parameters. Orthopedics 2012;35(6):e843-6.16. Krupp RJ, Malkani AL, Roberts CS, Seligson D, Crawford CH, Smith L. Treatment of bicondylar tibia plateau fractures using locked plating versus external fixation. Orthopedics (Online). 2009;32(8):559. 17. Sudheer U, Sreejith T.G.A Prospective study on the functional outcome following open reduction and internal fixation in supracondylar intercondylar fracture femur. Journal of Orthopaedics 2007;4(2)30. 18. Vishwanath Yaligod, Siddarthmahesh. Dynamic condylar screw in the management of distal femur fractures - evaluation of our results. International journal of medical and applied sciences issn: 2320-3137. 19. Ali I, Shahbuddin. Surgical outcome of supracondylar and intercondylar fractures in femur in adults treated with DYNAMIC condylar screw. JPMI 2011;25(1):49-55. 20. Manohar G, Andrews S. Functional outcome following ORIF of supracondylar, intercondylar fracture femur. Kerala Journal of Orthopeadics 2012;25(1). 21. Catalano JB, Iannacone WM, Marczyk S, Dalsey RM, Deutsch LS, Born CT, et al. Open fractures of the patella: long-term functional outcome. Journal of Trauma and Acute Care Surgery 1995;39(3):439-44. 22. Ali AM. Outcomes of open bicondylar tibial plateau fractures treated with Ilizarov external fixator with or without minimal internal fixation. European Journal of Orthopaedic Surgery & Traumatology 2013;23(3):349-55. 23. Ali AM. Outcome of complex fractures of the tibial plateau treated with a beam-loading ring fixation system. J Bone Joint Surg Br 2003;85 (5):691-9. 24. Hassankhani EG, Kashani FO, Hassankhani GG. Treatment of complex proximal tibial fractures (types V & VI of Schautzker classification) by double plate fixation with single anterior incision. Open J Orthop 2013; 3:208-12. 25. Manidakis N, Dosani A, Dimitriou R, Stengel D, Matthews S, Giannoudis P. Tibial plateau fractures: functional outcome and incidence of osteoarthritis in 125 cases. International Orthopaedics 2010;34(4):565-70. 26. Mankar SH, Golhar AV. Outcome of complex tibial plateau fractures treated with external fixator. Indian Journal of Orthopaedics 2012;4 6(5):570-4.