{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T01:22:27Z","timestamp":1788398547189,"version":"build-2803163510"},"reference-count":30,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2021,11,11]],"date-time":"2021-11-11T00:00:00Z","timestamp":1636588800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo\u2003Analisar os resultados cl\u00ednicos, radiol\u00f3gicos e funcionais da fratura do planalto tibial (Schatzker Tipo V, VI) tratada com fixador externo do anel Illizarov com ou sem abertura m\u00ednima.<\/jats:p><jats:p>\n          M\u00e9todos\u2003Um total de 52 fraturas do planalto tibial dos tipos V e VI foram tratadas com fixador externo do anel Ilizarov com ou sem fixa\u00e7\u00e3o interna m\u00ednima. A avalia\u00e7\u00e3o do desfecho funcional foi feita utilizando-se o escore da American Knee Society (AKS, na sigla em ingl\u00eas) com consolida\u00e7\u00e3o cl\u00ednica, radiol\u00f3gica e complica\u00e7\u00f5es encontradas.<\/jats:p><jats:p>\n          Resultados\u2003Foram 37 (71,15%) pacientes do sexo masculino e 15 (28,84%) do sexo feminino, com idade m\u00e9dia de 39,07\u2009\u00b1\u200912,58 anos. Acidentes de tr\u00e2nsito (ATs) foram a principal causa das fraturas, contabilizando 32 casos (61,53%), seguidos por les\u00e3o por queda, com 16 casos (30,76%), e impacto direto, com 4 casos (7,69%). Foram 21 (40,38%) casos de fraturas tipo V, 31 (59,61%) casos do tipo VI e 24 (46,15%) casos de fratura exposta. Os escores m\u00e9dios da AKS para as fraturas tipo V e VI foram de 82,8 e 80,70, respectivamente, mas n\u00e3o foi estatisticamente significativo em p &lt;0,05. O escore m\u00e9dio da AKS para fraturas fechadas e abertas tamb\u00e9m n\u00e3o foi estatisticamente significativo em p &lt;0,05.<\/jats:p><jats:p>\n          Conclus\u00f5es\u2003Para a fratura do planalto tibial complexa dos tipos V e VI de Schatzker, a fixa\u00e7\u00e3o externa de Ilizarov \u00e9 um m\u00e9todo de tratamento seguro, econ\u00f4mico e eficiente que resulta em resultados satisfat\u00f3rios.<\/jats:p>","DOI":"10.1055\/s-0041-1739171","type":"journal-article","created":{"date-parts":[[2021,11,11]],"date-time":"2021-11-11T23:58:09Z","timestamp":1636675089000},"page":"667-674","source":"Crossref","is-referenced-by-count":6,"title":["Fixa\u00e7\u00e3o externa do anel de Ilizarov para fraturas complexas do plat\u00f4 tibial"],"prefix":"10.1055","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9149-8347","authenticated-orcid":false,"given":"Anil","family":"Ghimire","sequence":"additional","affiliation":[{"name":"Hospital Ortop\u00e9dico do Nepal, Jorpati, Kathmandu 44601, Nepal and Patan Academy of Health Sciences, Patan Hospital, Lalitpur 44700 Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4088-0199","authenticated-orcid":false,"given":"Pramod","family":"Devkota","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Cirurgia de Trauma, Patan Hospital, Academia Patan de Ci\u00eancias da Sa\u00fade, Lalitpur, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6971-9732","authenticated-orcid":false,"given":"Kailash Kumar","family":"Bhandari","sequence":"additional","affiliation":[{"name":"Hospital Ortop\u00e9dico do Nepal, Jorpati, Kathmandu 44601, Nepal and Patan Academy of Health Sciences, Patan Hospital, Lalitpur 44700 Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1582-1659","authenticated-orcid":false,"given":"Yubaraj","family":"Kharel","sequence":"additional","affiliation":[{"name":"Hospital Ortop\u00e9dico do Nepal, Jorpati, Kathmandu 44601, Nepal and Patan Academy of Health Sciences, Patan Hospital, Lalitpur 44700 Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9588-159X","authenticated-orcid":false,"given":"Saju","family":"Pradhan","sequence":"additional","affiliation":[{"name":"Hospital Ortop\u00e9dico do Nepal, Jorpati, Kathmandu 44601, Nepal and Patan Academy of Health Sciences, Patan Hospital, Lalitpur 44700 Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2021,11,11]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1007\/s00264-005-0638-6","article-title":"Complex tibial plateau fractures treated with Ilizarov external fixator with or without minimal internal fixation","volume":"29","author":"H El Barbary","year":"2005","journal-title":"Int Orthop"},{"issue":"138","key":"ref2","first-page":"94","article-title":"The tibial plateau fracture. The Toronto experience 1968\u20131975","author":"J Schatzker","year":"1979","journal-title":"Clin Orthop Relat Res"},{"issue":"02","key":"ref3","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1016\/j.jcot.2017.08.005","article-title":"Results of ring (Ilizarov) fixator in high energy Schatzker type VI fractures of proximal tibia","volume":"9","author":"U K Debnath","year":"2018","journal-title":"J Clin Orthop Trauma"},{"issue":"01","key":"ref4","doi-asserted-by":"crossref","first-page":"13","DOI":"10.2106\/00004623-198668010-00003","article-title":"Tibial condylar fractures. A twenty-year follow-up","volume":"68","author":"O Lansinger","year":"1986","journal-title":"J Bone Joint Surg Am"},{"key":"ref5","first-page":"79","volume-title":"Wire ring fixation of complex tibial plateau fractures","author":"K S John","year":"2007"},{"issue":"231","key":"ref6","first-page":"196","article-title":"Cast brace treatment of proximal tibia fractures. A ten-year follow-up study","author":"T A DeCoster","year":"1988","journal-title":"Clin Orthop Relat Res"},{"issue":"S 02","key":"ref7","doi-asserted-by":"crossref","first-page":"S9","DOI":"10.1016\/j.injury.2015.05.025","article-title":"Dual locked plating of unstable bicondylar tibial plateau fractures","volume":"46","author":"U Ozkaya","year":"2015","journal-title":"Injury"},{"issue":"04","key":"ref8","doi-asserted-by":"crossref","first-page":"723","DOI":"10.1016\/S0030-5898(20)31955-6","article-title":"High-energy fractures of the tibial plateau","volume":"25","author":"J T Watson","year":"1994","journal-title":"Orthop Clin North Am"},{"issue":"375","key":"ref9","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1097\/00003086-200006000-00003","article-title":"The evolution of indirect reduction techniques for the treatment of fractures","author":"M Leunig","year":"2000","journal-title":"Clin Orthop Relat Res"},{"issue":"05","key":"ref10","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1097\/00005131-200006000-00006","article-title":"Treatment of complex (Schatzker Type VI) fractures of the tibial plateau with circular wire external fixation: retrospective case review","volume":"14","author":"A Kumar","year":"2000","journal-title":"J Orthop Trauma"},{"issue":"03","key":"ref11","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1016\/j.cjtee.2018.11.003","article-title":"Outcome of complex tibial plateau fractures with Ilizarov external fixation with or without minimal internal fixation","volume":"22","author":"K N Subramanyam","year":"2019","journal-title":"Chin J Traumatol"},{"issue":"248","key":"ref12","first-page":"13","article-title":"Rationale of the Knee Society clinical rating system","author":"J N Insall","year":"1989","journal-title":"Clin Orthop Relat Res"},{"issue":"04","key":"ref13","doi-asserted-by":"crossref","first-page":"453","DOI":"10.2106\/00004623-197658040-00004","article-title":"Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses","volume":"58","author":"R B Gustilo","year":"1976","journal-title":"J Bone Joint Surg Am"},{"issue":"02","key":"ref14","doi-asserted-by":"crossref","first-page":"34","DOI":"10.5704\/MOJ.1007.006","article-title":"Treament of Tibial Plateau Schatzker Type VI Fractures with the Ilizarov Technique Using Ring External Fixators Across the Knee: A Retrospective Review","volume":"4","author":"I R Ranatunga","year":"2010","journal-title":"Malays Orthop J"},{"issue":"04","key":"ref15","first-page":"461","article-title":"Ligamentotaxis by Ilizarov Method in the Management of Tibial Plateau Fractures","volume":"11","author":"A Makhdoom","year":"2014","journal-title":"World J Med Sci"},{"issue":"250","key":"ref16","first-page":"8","article-title":"Clinical application of the tension-stress effect for limb lengthening","author":"G A Ilizarov","year":"1990","journal-title":"Clin Orthop Relat Res"},{"issue":"08","key":"ref17","doi-asserted-by":"crossref","first-page":"1148","DOI":"10.2106\/00004623-199308000-00004","article-title":"Complications of use of the Ilizarov technique in the correction of limb deformities in children","volume":"75","author":"R J Velazquez","year":"1993","journal-title":"J Bone Joint Surg Am"},{"issue":"03","key":"ref18","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1097\/00005131-199406000-00001","article-title":"Tibial plateau fractures: a study of associated soft tissue injuries","volume":"8","author":"W F Bennett","year":"1994","journal-title":"J Orthop Trauma"},{"issue":"05","key":"ref19","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1302\/0301-620X.85B5.13855","article-title":"Outcome of complex fractures of the tibial plateau treated with a beam-loading ring fixation system","volume":"85","author":"A M Ali","year":"2003","journal-title":"J Bone Joint Surg Br"},{"issue":"03","key":"ref20","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1007\/s00590-012-0989-9","article-title":"Outcomes of open bicondylar tibial plateau fractures treated with Ilizarov external fixator with or without minimal internal fixation","volume":"23","author":"A M Ali","year":"2013","journal-title":"Eur J Orthop Surg Traumatol"},{"issue":"05","key":"ref21","first-page":"1043","article-title":"Treatment strategies for complex fractures of the tibial plateau with external circular fixation and limited internal fixation","volume":"63","author":"M A Catagni","year":"2007","journal-title":"J Trauma"},{"issue":"353","key":"ref22","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1097\/00003086-199808000-00012","article-title":"Treatment of complex lateral plateau fractures using Ilizarov techniques","author":"J T Watson","year":"1998","journal-title":"Clin Orthop Relat Res"},{"issue":"03","key":"ref23","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1097\/00005131-199506000-00011","article-title":"The use of combination internal fixation and hybrid external fixation in severe proximal tibia fractures","volume":"9","author":"L S Weiner","year":"1995","journal-title":"J Orthop Trauma"},{"issue":"01","key":"ref24","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1007\/s11751-017-0275-9","article-title":"A prospective observational study of 56 patients treated with ring fixator after a complex tibial fracture","volume":"12","author":"R Elsoe","year":"2017","journal-title":"Strateg Trauma Limb Reconstr"},{"key":"ref25","first-page":"589538","article-title":"Functional Evaluation in High Energy (Schatzker Type V and Type VI) Tibial Plateau Fractures Treated by Open Reduction and Internal Fixation","volume":"2014","author":"K Khatri","year":"2014","journal-title":"Int Sch Res Notices"},{"issue":"05","key":"ref26","first-page":"RC05","article-title":"Functional and Radiological Outcome of Schatzker type V and VI Tibial Plateau Fracture Treatment with Dual Plates with Minimum 3 years follow-up: A Prospective Study","volume":"10","author":"N Rohra","year":"2016","journal-title":"J Clin Diagn Res"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"S81","DOI":"10.1016\/S0020-1383(17)30799-4","article-title":"Severe tibial plateau fractures (Schatzker V-VI): open reduction and internal fixation versus hybrid external fixation","volume":"48","author":"M L Bertrand","year":"2017","journal-title":"Injury"},{"issue":"12","key":"ref28","doi-asserted-by":"crossref","first-page":"2613","DOI":"10.2106\/00004623-200612000-00008","article-title":"Open reduction and internal fixation compared with circular fixator application for bicondylar tibial plateau fractures. Results of a multicenter, prospective, randomized clinical trial","volume":"88","author":"Canadian Orthopaedic Trauma Society","year":"2006","journal-title":"J Bone Joint Surg Am"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1016\/j.ijsu.2017.01.044","article-title":"A meta-analysis of external fixation versus open reduction and internal fixation for complex tibial plateau fractures","volume":"39","author":"X W Zhao","year":"2017","journal-title":"Int J Surg"},{"issue":"08","key":"ref30","doi-asserted-by":"crossref","first-page":"552","DOI":"10.1097\/00005131-200409000-00012","article-title":"The less invasive stabilization system in the treatment of complex fractures of the tibial plateau: short-term results","volume":"18","author":"J P Stannard","year":"2004","journal-title":"J Orthop Trauma"}],"container-title":["Revista Brasileira de Ortopedia"],"original-title":[],"language":"pt","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0041-1739171.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,8,10]],"date-time":"2022-08-10T23:24:40Z","timestamp":1660173880000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0041-1739171"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11,11]]},"references-count":30,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2022,8,10]]},"published-print":{"date-parts":[[2022,8]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0041-1739171","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0102-3616","1982-4378"],"issn-type":[{"value":"0102-3616","type":"print"},{"value":"1982-4378","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,11,11]]}}}