Comparison of Functional Outcome Between Locking Plate Technique Versus Hybrid Ilizarov Technique in Patients With Schatzker Type V and VI Tibial Plateau Fractures (TPF)
연구 개요
상세 설명
Complex tibial plateau fractures, particularly Schatzker type V and VI fractures, are associated with substantial articular and metaphyseal injury and may present challenges in achieving satisfactory fracture reduction, stable fixation, soft-tissue preservation, and functional recovery.
The present comparative study will be conducted in the Orthopedic Department of Jinnah Hospital, Lahore. A total of 78 patients meeting the eligibility criteria will be recruited. Participants will be assigned to one of two treatment groups: Group A will undergo fixation using the hybrid Ilizarov technique, while Group B will undergo fixation using a locking plate technique.
Patients will undergo clinical and radiological assessment during follow-up. Functional outcome will be assessed using the Rasmussen Knee Functional Score. Radiographs will be obtained at regular follow-up intervals to evaluate fracture healing and union. Postoperative complications, including infection and non-union, will be documented.
The study will compare functional outcomes and fracture-healing outcomes between the two treatment techniques.
연구 유형
등록 (추정된)
단계
- 해당 없음
연락처 및 위치
연구 연락처
- 이름: Montiha Azeem
- 전화번호: 03479717317
- 이메일: muntahaazeem9@gmail.com
연구 연락처 백업
- 이름: Sajjad Hussain
- 전화번호: 0333 4077389
- 이메일: prof.sajjadhussain@aimc.edu.pk
연구 장소
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Punjab Province
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Lahore, Punjab Province, 파키스탄, 54000
- 모병
- Jinnah Hospital Lahore
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연락하다:
- Sajjad Hussain
- 전화번호: 0333 4077389
- 이메일: muntahaazeem9@gmail.com
-
연락하다:
- Montiha Azeem
- 이메일: muntahaazeem9@gmail.com
-
수석 연구원:
- Sajjad Hussain
-
-
참여기준
자격 기준
공부할 수 있는 나이
- 성인
건강한 자원 봉사자를 받아들입니다
설명
Inclusion Criteria:
- Patients of either sex.
- Age between 25 and 50 years.
- Patients presenting within 2 weeks of sustaining the fracture.
- Patients diagnosed with complex tibial plateau fractures classified as Schatzker type V or VI.
- Patients willing to participate in the study.
- Patients providing written informed consent.
Exclusion Criteria:
- Associated ipsilateral limb fractures.
- Pathological fracture of the tibia.
- Associated major organ injuries.
- Psychiatric illness that may interfere with participation or outcome assessment.
- Refusal to provide informed consent.
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 하나의
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
|---|---|
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실험적: Hybrid Ilizarov Technique
Patients with Schatzker type V or VI tibial plateau fractures will undergo fracture reduction and fixation using a hybrid Ilizarov external fixation technique.
Closed or minimally open reduction will be performed under C-arm fluoroscopic guidance, followed by application of a hybrid Ilizarov frame using tensioned Kirschner wires and Schanz screws.
Bone graft or bone substitute may be used when clinically indicated.
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Patients with Schatzker type V or VI tibial plateau fractures will undergo fracture reduction and fixation using a hybrid Ilizarov external fixation system under C-arm fluoroscopic guidance.
Closed or minimally open reduction will be performed as appropriate.
The construct will consist of a hybrid Ilizarov C-ring with appropriately tensioned Kirschner wires and Schanz screws.
Additional wires or fixation components may be used when required to achieve adequate fracture stability and alignment.
Bone graft or bone substitute may be used when clinically indicated.
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활성 비교기: Locking Plate Technique
Patients with Schatzker type V or VI tibial plateau fractures will undergo fracture reduction and internal fixation using a locking compression plate under C-arm fluoroscopic guidance.
Appropriate medial and/or lateral plate fixation will be performed according to fracture configuration and stability.
Bone grafting may be used when clinically indicated.
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Patients with Schatzker type V or VI tibial plateau fractures will undergo fracture reduction and internal fixation using a locking compression plate under C-arm fluoroscopic guidance.
The appropriate surgical approach and medial and/or lateral plate configuration will be selected according to fracture morphology, comminution, and stability.
Bone graft or bone substitute may be used when clinically indicated.
Postoperative rehabilitation will include early knee range-of-motion exercises, non-weight-bearing ambulation initially, and progressive weight-bearing according to clinical and radiological fracture healing.
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Rasmussen Knee Functional Score
기간: 8 weeks and 16 weeks
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Functional outcome will be assessed using the Rasmussen Knee Functional Score at the final postoperative assessment.
Scores will be categorized as excellent (27-30), good (20-26), fair (10-19), or poor (6-9).
The score will be compared between patients treated with hybrid Ilizarov fixation and those treated with locking plate fixation.
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8 weeks and 16 weeks
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공동 작업자 및 조사자
연구 기록 날짜
연구 주요 날짜
연구 시작 (추정된)
기본 완료 (추정된)
연구 완료 (추정된)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
기타 연구 ID 번호
- ERB196/4/06-11-2025/AIMC/JHL
약물 및 장치 정보, 연구 문서
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미국 FDA 규제 기기 제품 연구
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