• Users Online: 31
  • Print this page
  • Email this page
ORIGINAL ARTICLE
Year : 2021  |  Volume : 36  |  Issue : 2  |  Page : 14-20

Joshi's external stabilization system versus locked compression plating in the management of tibial plateau fractures: A nonrandomized prospective study


1 Department of Orthopaedics, Teerthanker Mahaveer Medical College and Research Centre, Teerthanker Mahaveer University, Moradabad, Uttar Pradesh, India
2 Apex Trauma Centre, SGPGIMS, Lucknow, Uttar Pradesh, India
3 Speciality Registrar, Tameside NHS Foundation Trust, Manchester, UK

Correspondence Address:
Sandeep Bishnoi
Department of Orthopaedics, Teerthanker Mahaveer Medical College and Research Centre, Teerthanker Mahaveer University, Moradabad, Uttar Pradesh
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jbjd.jbjd_3_21

Rights and Permissions

Context: Among the myriad treatment options available for tibial plateau fractures, Joshi's external stabilization system (JESS) is one of the established treatment modalities as an external fixation device. Closed reduction has the advantage of biological fixation and preservation of the already jeopardized local blood supply to the bone. Aim: This study was conducted to compare the functional results between locked compression plate and JESS as a fixation method for tibial plateau fractures. Setting and Design: This is a prospective, single-center, and nonrandomized study. Materials and Methods: Fifty patients with tibial plateau fractures were included in the study, who presented to our hospital between January 2016 and December 2018 and were treated alternatively by either plating (Group P) or JESS (Group J). Modified Rasmussen functional score (MRFS) was used for assessing the functional outcomes. Statistical Analysis Used: Microsoft Excel and Statistical software SPSS version 21.0. Results: The mean age in Group J and P was 39.52 ± 9.27 years and 39.00 ± 10.82 years, respectively. The mean follow-up period was 12 months (range: 9–24 months). Schatzker Type II was the most common fracture pattern (n = 15). The average union time was 12.3 weeks in Group J and 14 weeks in Group P (P = 0.036). The mean MRFS at 3, 6, and 9 months of follow-up was significantly better in the J group (P value at 3 months was 0.0204, at 6 months was 0.0226, and at 9 months was 0.0048). Conclusion: The study shows that the functional outcome of JESS for the management of tibial plateau fractures is better than plating.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed135    
    Printed8    
    Emailed0    
    PDF Downloaded10    
    Comments [Add]    

Recommend this journal