PREDISPOSING FACTORS AND TREATMENT OF OSTEOARTHRITIS AFTER SURGERIES PERFORMED FOR TIBIAL FRACTURES

Dudko O. G.; Glubochenko O. V.; Pickula V. V.; Marchuk O. F.; Shayko-Shaykovskiy O. G.

doi:10.31435/rsglobal_ws/30122019/6825

Dudko O. G. PhD, Associate Professor, HSEEU “Bukovynian State Medical University”, Ukraine, Chernivtsi City
Glubochenko O. V. PhD, Associate Professor, HSEEU “Bukovynian State Medical University”, Ukraine, Chernivtsi City
Pickula V. V. Orthopaedic surgeon, Chernivtsi Emergency City Hospital, Ukraine, Chernivtsi City
Marchuk O. F. PhD, Assistant Professor, HSEEU “Bukovynian State Medical University”, Ukraine, Chernivtsi City
Shayko-Shaykovskiy O. G. PhD, D.Tech.Sci, Professor, Yuriy Fedkovych Chernivtsi National University, General Physics Department, Ukraine, Chernivtsi City

DOI: https://doi.org/10.31435/rsglobal_ws/30122019/6825

Keywords: tibial fractures, osteoarthritis, surgical treatment, outcomes

Abstract

Tibial fractures are very common injuries that require surgical management. For many cases, when the fracture involves the joint further complications occur, such as joint stiffness, osteoarthritis, aseptic necrosis of articular surfaces, ankylosis, infection complications, etc. To prevent joint stiffness open reduction and internal fracture fixation is used. That allows better positioning of fracture fragments forming joint surface and improve outcome. The article analyses results of surgical treatment of intraarticular fractures as well as biomechanical factors that are affecting the joint within the healing process and in later outcome period. Various treatment procedures are suggested to prevent development of osteoarthritis or to decrease its severity. The following options are used on all stages of treatment starting since the moment of injury, primary surgical procedures, rehabilitation period, and further non-surgical treatment in the internal medicine department. Important roles are assigned for use of chondroprotective drugs, intraarticular injections of Hyaluronic acid, physiotherapy and physical activity.

References

Murray Christopher JL. (2013). The State of US Health, 1990-2010. Burden of diseases, injuries, and risk factors. JAMA, 310 (6), 591–608.

Aurich, M., Koenig, V., & Hofmann, G. (2018). Comminuted intraarticular fractures of the tibial plateau lead to posttraumatic osteoarthritis of the knee: Current treatment review. Asian Journal of Surgery, 41(2), 99-105.

Biz, C., Maso, G., Gambato, M., Belluzzi, E., Pozzuoli, A., Favero, M., et al. (2019). Challenging surgical treatment of displaced articular tibial plateau fractures: do early knee radiographic features have a predictive value of the mid-term clinical functional outcomes? Orthopaedic Surgery, Nov, 1-12.

Bourne, R. B., Rorabeck, C. H., & Macnab, J. (1983). Intra-articular fractures of the distal tibia - the pilon fracture. Journal of Trauma-Injury Infection and Critical Care, 23(7), 591-596.

Dudko O.G. (2018). Managing “Traumatology and orthopedics” educational course for foreign students in Bukovynian State Medical University. Medical Education, 1, 125-28.

Bennett A, Ramaskandhan J, Siddique M. Total Ankle Replacement for Osteoarthritis Following Pilon Fracture of the Tibia. Foot & Ankle International. 2018;39(9):1008-18.

Soundarrajan D, Rajkumar N, Dhanasekararaja P, Rajasekaran S. Proximal tibia stress fracture with osteoarthritis of knee - Radiological and functional analysis of one stage TKA with long stem. Sicot-J. 2018;4.

Bennett, A., Ramaskandhan, J., & Siddique, M. (2018). Total Ankle Replacement for Osteoarthritis Following Pilon Fracture of the Tibia. Foot & Ankle International, 39(9), 1008-1018.

Bohm, E. R., Tufescu, T. V., & Marsh, J. P. (2012). The operative management of osteoporotic fractures of the knee TO FIX OR REPLACE? Journal of Bone and Joint Surgery-British Volume, 94B(9), 1160-1169.

Hill, C. E. (2016). Does external fixation result in superior ankle function than open reduction internal fixation in the management of adult distal tibial plafond fractures? Foot and Ankle Surgery, 22(3), 146-151.

Pape, D., Hoffmann, A., Gerich, T., Van der Kerkhofe, M., Weber, M., & Pape, H. C. (2014). Fractures of the knee joint in the elderly. Osteosynthesis versus joint replacement. Orthopade, 43(4), 365-373.

Ruedi, T. P., & Allgower, M. (1979). Operative treatment of intra-articular fractures of the lower end of the tibia. Clinical Orthopaedics and Related Research(138), 105-110.

Mukhopadhaya J, Jain AK. (2019). AO Principles of Fracture Management. Indian J Orthop., 53(1), 217–218.

Grose, A., Gardner, M. J., Hettrich, C., Fishman, F., Lorich, D. G., Asprinio, D. E., et al. (2007). Open reduction and internal fixation of tibial pilon fractures using a lateral approach. Journal of Orthopaedic Trauma, 21(8), 530-537.

Karas, E. H., Weiner, L. S., & Yang, E. C. (1996). The use of an anterior incision of the meniscus for exposure of tibial plateau fractures requiring open reduction and internal fixation. Journal of Orthopaedic Trauma, 10(4), 243-247.

Pawar, K. A., Panjwani, T. R., Panase, J. B., & Sancheti, P. K. (2015). Management of comminuted fractures of lower extremity with minimally invasive plate osteosynthesis. Journal of Evolution of Medical and Dental Sciences-Jemds, 4(61), 10687-10696.

Conroy, J., Agarwal, M., Giannoudis, P. V., & Matthews, S. J. E. (2003). Early internal fixation and soft tissue cover of severe open tibial pilon fractures. International Orthopaedics, 27(6), 343-347.

Lobenhoffer, P., Gerich, T., Bertram, T., Lattermann, C., Pohlemann, T., & Tscherne, H. (1997). Treatment of posterior tibial plateau fractures via posteromedial and posterolateral exposures. Unfallchirurg, 100(12), 957-967.

Olivera, R., Machain, S., & Filomeno, P. (2016). Surgical management strategies in high energy plafond tibial fractures. Sistematic review. Anales De La Facultad De Medicina-Universidad De La Republica Uruguay, 3(1), 25-36.

Prat-Fabregat, S., & Camacho-Carrasco, P. (2016). Treatment strategy for tibial plateau fractures: an update. Efort Open Reviews, 1(5), 225-232.

Rashid RH, Zubairi AJ, Umer M, Hashmi PM, Lakdawala RH. Management of stress fractures of the proximal tibia in patients with advance knee osteoarthritis. A case series. Acta Orthopaedica Belgica. 2018;84(4):436-42.

Barakat, A. S., Ibrahim, N. M., Elghobashy, O., Sultan, A. M., & Abdel-Kader, K. F. M. (2019). Prevention of post-traumatic osteoarthritis after intra-articular knee fractures using hyaluronic acid: a randomized prospective pilot study. International Orthopaedics, 43(11), 2437-2445.

Harris, A. M., Patterson, B. M., Sontich, J. K., & Vallier, H. A. (2006). Results and outcomes after operative treatment of high-energy tibial plafond fractures. Foot & Ankle International, 27(4), 256-265.

Domsic, R. T., & Saltzman, C. L. (1998). Ankle osteoarthritis scale. Foot & Ankle International, 19(7), 466-471.

Rashid, R. H., Zubairi, A. J., Umer, M., Hashmi, P. M., & Lakdawala, R. H. (2018). Management of stress fractures of the proximal tibia in patients with advance knee osteoarthritis. A case series. Acta Orthopaedica Belgica, 84(4), 436-442.

Soundarrajan, D., Rajkumar, N., Dhanasekararaja, P., & Rajasekaran, S. (2018). Proximal tibia stress fracture with osteoarthritis of knee - Radiological and functional analysis of one stage TKA with long stem. Sicot-J, 4.

Van Dreumel, R. L. M., van Wunnik, B. P. W., Janssen, L., Simons, P. C. G., & Janzing, H. M. J. (2015). Mid- to long-term functional outcome after open reduction and internal fixation of tibial plateau fractures. Injury-International Journal of the Care of the Injured, 46(8), 1608-1612.