Jentashapir Journal of Health Research

Published by: Kowsar

Outcome Assessment of Hybrid External Fixation in the Treatment of Comminuted Distal Femur and Proximal Tibial Fractures

Nasser Sarrafan 1 , Seyed Abdolhossein Mehdinasab 1 , 2 , * and Samira Nabaeefard 1
Authors Information
1 Department of Orthopedics, Emam Khomeini Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran
2 Musculoskeletal and Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran
Article information
  • Jentashapir Journal of Health Research: February 01, 2016, 7 (1); e30014
  • Published Online: February 15, 2016
  • Article Type: Research Article
  • Received: May 16, 2015
  • Revised: September 29, 2015
  • Accepted: October 3, 2015
  • DOI: 10.17795/jjhr-30014

To Cite: Sarrafan N, Mehdinasab S A, Nabaeefard S. Outcome Assessment of Hybrid External Fixation in the Treatment of Comminuted Distal Femur and Proximal Tibial Fractures, Jentashapir J Health Res. 2016 ; 7(1):e30014. doi: 10.17795/jjhr-30014.

Copyright © 2016, Ahvaz Jundishapur University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Patients and Methods
4. Results
5. Discussion
  • 1. Kregor F, Zlowodzki M. Distal femur fractures. 2007;
  • 2. Marsh JL. Rockwood and green's fractures in adults. 2010;
  • 3. Smith TO, Hedges C, MacNair R, Schankat K, Wimhurst JA. The clinical and radiological outcomes of the LISS plate for distal femoral fractures: a systematic review. Injury. 2009; 40(10): 1049-63[DOI][PubMed]
  • 4. Schatzker J. The rationale of operative orthopaedic care. 1988; : 279-95
  • 5. Babis GC, Evangelopoulos DS, Kontovazenitis P, Nikolopoulos K, Soucacos PN. High energy tibial plateau fractures treated with hybrid external fixation. J Orthop Surg Res. 2011; 6: 35[DOI][PubMed]
  • 6. Walcher F, Frank J, Marzi I. Retrograde Nailing of Distal Femoral Fracture – Clear and Potential Indications. Euro J Trauma. 2000; 26(4): 155-68[DOI]
  • 7. Krettek C, Schandelmaier P, Miclau T, Bertram R, Holmes W, Tscherne H. Transarticular joint reconstruction and indirect plate osteosynthesis for complex distal supracondylar femoral fractures. Injury. 1997; 28 Suppl 1-41[PubMed]
  • 8. Kumar A, Jasani V, Butt MS. Management of distal femoral fractures in elderly patients using retrograde titanium supracondylar nails. Injury. 2000; 31(3): 169-73[PubMed]
  • 9. Leung KS, Shen WY, So WS, Mui LT, Grosse A. Interlocking intramedullary nailing for supracondylar and intercondylar fractures of the distal part of the femur. J Bone Joint Surg Am. 1991; 73(3): 332-40[PubMed]
  • 10. Hassankhani EG, Birjandinejad A, Kashani FO, Hassankhani GG. Hybrid External Fixation for Open Severe Comminuted Fractures of the Distal Femur. Surg Sci. 2013; 4(2): 176-83[DOI]
  • 11. Barei DP, Nork SE, Mills WJ, Henley MB, Benirschke SK. Complications associated with internal fixation of high-energy bicondylar tibial plateau fractures utilizing a two-incision technique. J Orthop Trauma. 2004; 18(10): 649-57[PubMed]
  • 12. Apley AG. Fractures of the tibial plateau. Orthop Clin North Am. 1979; 10(1): 61-74[PubMed]
  • 13. Delamarter R, Hohl M. The cast brace and tibial plateau fractures. Clin Orthop Relat Res. 1989; (242): 26-31[PubMed]
  • 14. Scotland T, Wardlaw D. The use of cast-bracing as treatment for fractures of the tibial plateau. J Bone Joint Surg Br. 1981; 63B(4): 575-8[PubMed]
  • 15. Hutson JJ, Zych GA. Treatment of comminuted intraarticular distal femur fractures with limited internal and external tensioned wire fixation. J Orthop Trauma. 2000; 14(6): 405-13[PubMed]
  • 16. Parekh AA, Smith WR, Silva S, Agudelo JF, Williams AE, Hak D, et al. Treatment of distal femur and proximal tibia fractures with external fixation followed by planned conversion to internal fixation. J Trauma. 2008; 64(3): 736-9[DOI][PubMed]
  • 17. El-Alfy B, Othman A, Mansour E. Indirect reduction and hybrid external fixation in management of comminuted tibial plateau fractures. Acta Orthop Belg. 2011; 77(3): 349-54[PubMed]
  • 18. Weiner LS, Kelley M, Yang E, Steuer J, Watnick N, Evans M, et al. The use of combination internal fixation and hybrid external fixation in severe proximal tibia fractures. J Orthop Trauma. 1995; 9(3): 244-50[PubMed]
  • 19. Ali F, Saleh M. Treatment of distal femoral nonunions by external fixation with simultaneous length and alignment correction. Injury. 2002; 33(2): 127-34[PubMed]
  • 20. Mahadeva D, Costa ML, Gaffey A. Open reduction and internal fixation versus hybrid fixation for bicondylar/severe tibial plateau fractures: a systematic review of the literature. Arch Orthop Trauma Surg. 2008; 128(10): 1169-75[DOI][PubMed]
  • 21. Gaudinez RF, Mallik AR, Szporn M. Hybrid external fixation of comminuted tibial plateau fractures. Clin Orthop Relat Res. 1996; (328): 203-10[PubMed]
  • 22. Hall JA, Beuerlein MJ, McKee MD, Canadian Orthopaedic Trauma S. Open reduction and internal fixation compared with circular fixator application for bicondylar tibial plateau fractures. Surgical technique. J Bone Joint Surg Am. 2009; 91 Suppl 2 Pt 1: 74-88[DOI][PubMed]
  • 23. Young MJ, Barrack RL. Complications of internal fixation of tibial plateau fractures. Orthop Rev. 1994; 23(2): 149-54[PubMed]
  • 24. Savolainen VT, Pajarinen J, Hirvensalo E, Lindahl J. Hybrid external fixation in treatment of proximal tibial fractures: a good outcome in AO/ASIF type-C fractures. Arch Orthop Trauma Surg. 2010; 130(7): 897-901[DOI][PubMed]
  • 25. Catagni MA, Ottaviani G, Maggioni M. Treatment strategies for complex fractures of the tibial plateau with external circular fixation and limited internal fixation. J Trauma. 2007; 63(5): 1043-53[DOI][PubMed]
  • 26. Chin TY, Bardana D, Bailey M, Williamson OD, Miller R, Edwards ER, et al. Functional outcome of tibial plateau fractures treated with the fine-wire fixator. Injury. 2005; 36(12): 1467-75[DOI][PubMed]
  • 27. Katsenis D, Athanasiou V, Megas P, Tyllianakis M, Lambiris E. Minimal internal fixation augmented by small wire transfixion frames for high-energy tibial plateau fractures. J Orthop Trauma. 2005; 19(4): 241-8[PubMed]
  • 28. Watson JT, Coufal C. Treatment of complex lateral plateau fractures using Ilizarov techniques. Clin Orthop Relat Res. 1998; (353): 97-106[PubMed]
  • 29. Marsh JL, Jansen H, Yoong HK, Found EJ. Supracondylar fractures of the femur treated by external fixation. J Orthop Trauma. 1997; 11(6): 405-10[PubMed]
  • 30. Maini L, Chadha M, Vishwanath J, Kapoor S, Mehtani A, Dhaon BK. The Ilizarov method in infected nonunion of fractures. Injury. 2000; 31(7): 509-17[DOI]
  • 31. Scuderi C, Ippolito A. Nonunion of supracondylar fractures of the femur. J Int Coll Surg. 1952; 17(1): 1-18[PubMed]
  • 32. Mandt PR, Gershuni DH. Treatment of nonunion of fractures in the epiphyseal-metaphyseal region of long bones. J Orthop Trauma. 1987; 1(2): 141-51[PubMed]
  • 33. Zum Brunnen C, Brindley H. Nonunion of the Shafts of the Long Bones. Jama. 1968; 203(9): 637[DOI]
  • 34. Whittle PA. Campbell's operative orthopeadics. 2008; : 3146-15
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