Table 8.
The trial with the cohort subgroup with Schatzker V-VI type of fractures compared with the literature
| Present study | Yu et al. 2009 | Catagni et al. 2007 | Lee et al. 2007 | Phisitkul et al. 2007 | Boldin et al. 2006 | Canadian Orthopaedic Trauma Society 2006 | Oh et al. 2006 | Egol et al. 2005 | El-Barbary et al. 2005 | Cole et al. 2004 | Ricci et al. 2004 | Dendrinos et al. 1996 | Zecher et al. 1996 | Yang et al. 1995 | Marsh et al. 1995 | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Study design |
P |
P |
R |
R |
R |
P |
Rand |
P |
P |
R |
R |
P |
P |
P |
P/R |
P |
|
Number of patients |
19 |
54 |
59 |
35 |
37 |
25 |
82 |
23 |
53 |
29 |
87 |
28 |
24 |
21 |
22/22 |
20 |
|
High-Energy |
14 |
54 |
59 |
35 |
37 |
18 |
NM |
NM |
53 |
29 |
75 |
NM |
24 |
21 |
40 |
20 |
|
Time to definitive surgery (days) |
2 |
10 |
NM |
12 |
13 |
6 |
4 |
11 |
9 |
NM |
7 |
NM |
2 |
NM |
NM |
2 |
|
Intervention |
CEF |
ORIF |
CEF + IF |
ORIF |
ORIF |
ORIF |
40 ORIF/42 CEF |
ORIF |
ORIF |
CEF + IF |
ORIF |
ORIF |
CEF + IF |
CEF + IF |
ORIF + cast/CEF + IF |
Unilat + IF |
|
Full weight-bearing (weeks) |
immediate |
19 |
immediate in 40 patients with femoral extension |
12 |
16 patients: 11 |
NM |
NM |
14 |
12 |
6 |
13 |
Extra-articular fractures: 6–8 |
14 |
NM |
12/08/12 |
4-8 |
| 19 patients: 15 | ||||||||||||||||
| Intra-articular fractures: 8-12 | ||||||||||||||||
|
Follow-up (months) |
12 |
24 |
21 |
3-26 |
49 |
36 |
24 |
25 |
16 |
27 |
14 |
23 |
37 |
14 |
21–208 |
38 |
|
Knee ROM ° injured side |
0-120 |
0-108 |
0-119 |
0-135 |
0-112 |
0-117 |
0-120 No differences |
0-123 |
0-106 |
0-112 |
0-120 |
NM |
90% >110 |
>90 |
|
0-130 |
|
Healing (weeks) |
12 |
15 |
29 |
16 |
12 |
11 |
NM |
19 |
NM |
NM |
13 |
NM |
14 |
0 |
16/20 |
15 |
|
Compartment syndrome |
2 |
0 |
0 |
0 |
1 |
1 |
3 |
0 |
10 |
0 |
0 |
4 |
3 |
7 |
0 |
0 |
|
Deep Vein Thrombosis |
1 |
0 |
2 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
8 |
1 |
0 |
0 |
|
Deep infection |
0 |
2 |
0 |
2 |
8 |
0 |
18% ORIF |
0 |
2 |
0 |
2 |
0 |
0 |
0 |
5/1 |
9 |
|
Reoperations |
TKR: 2 |
TKR: 2 |
0 |
Irrigation + drainage: 2 |
Staged protocol in 28 fractures with cast, EF and later ORIF |
TKR: 2 |
Removal of EF: 27 |
|
Staged protocol for all patients with knee spanning fixation and later ORIF |
NM |
Quadricepsplasty: 2 |
Stage protocol with EF before ORIF: 2 |
Fasciotomy: 3 |
Revision with ORIF: 2 |
Soft-tissue flap: 8/1 |
Arthrotomy + drainage: 2 |
| Knee manipulation: 2 |
Plate removal: 2 |
Soft tissue flap: 2 |
Irrigation + drainage: 8 |
Fasciotomy: 1 |
Total 37/16 |
Soft tissue flaps: 4 |
|
Loss of fixation: 2 |
TKR:1 |
Revision of fixator: 3 |
||||||
| Fasciotomy: 2 Arthroscopy: 1 |
Plate removal: 6 |
Bone graft: 1 |
TKR: 2/1 |
|
Plate removal: 4 |
|
Irrigation + drainage: 5 |
Fasciotomy: 2 |
||||||||
| Amputation: 1 |
|
Knee manipula- tion: 3/2 |
|
Incision + drainage: 1 |
|
Bone graft: 1 |
Plate removal: 1 |
|||||||||
| Fasciotomy: 3 |
|
Incision + drainage: 8/2 |
|
Bone graft: 2 |
|
Amputation: 1 |
||||||||||
| Skin graft: 1 |
Skin graft: 5/2 |
|
Quadricepsplasty: 1 |
|
Change of implant: 3 |
|||||||||||
| Screw removal: 0/6 |
|
Knee mani- pulation + arthroscopy: 2 |
|
Plate removal: 10 |
||||||||||||
| Plate removal: 8/0 |
|
|
|
|
||||||||||||
| Amputation: 1/0 | ||||||||||||||||
| Soft-tissue flap: 4/0 | ||||||||||||||||
| Other: 6/3 | ||||||||||||||||
|
Functional outcome |
VAS Pain |
HSS score |
ASAMI score |
0 |
0 |
HSS score |
SF-36 WOMAC HSS knees |
Rasmussen score |
WOMAC |
Knee Society score |
0 |
Lower Extremity Measure |
Honkonen score |
|
0 |
SF-36 |
| VAS Satisfaction |
Lysholm score |
Knee Society score |
Iowa |
|||||||||||||
| NHP |
Knee Society scoer |
Knee score |
||||||||||||||
| EQ5-D |
||||||||||||||||
| KOOS | ||||||||||||||||
P = Prospective, R = Retrospective, Rand = Randomiserade, NM = Not mentioned, CEF = Circular External Fixator, IF = Internal Fixation,
ORIF = Open Reduction and Internal Fixation, Unilat = Unilateral Extern Fixation, TKR = Total Knee Replacement, ROM = Range of Motion.