{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T18:47:28Z","timestamp":1778784448531,"version":"3.51.4"},"reference-count":57,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2024,2,22]],"date-time":"2024-02-22T00:00:00Z","timestamp":1708560000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Schatzker type VI tibia fractures are usually associated with infection and surgical wound-related problems. Circular external fixation (CEF) has been shown to minimize such complications. Methods: We pose a retrospective study of patients with Schatzker type VI fractures treated with CEF. Results: Twenty-two (22) patients were included (11M\/11F) with a mean age of 60.1 \u00b1 14.9 years. According to the AO\/OTA classification, two fractures (9.1%) were A2, three (13.6%) were A3, and seventeen (77.3%) were C3. Three (13.6%) of them were open. The tissue damage observed in the nineteen (86.4%) closed fractures was classified according to Tscherne (four grade I, twelve grade II, and three grade III). The mean ex-fix time was 24.1 \u00b1 5.1 weeks. None of the patients experienced deep infections, nonunion, or malunion. The mean ROM was 111.4 \u00b1 17.8 degrees. Although stability was achieved in all cases, 50% of them suffered osteoarthritic degeneration. Four knees required TKR at a mean of 8.77 \u00b1 5.58 years from trauma. The mean HHS knee score was 84.2 \u00b1 10.3 points (excellent in fifteen (68.2%) cases, good in four (18.2%), and acceptable in three (13.6%)). The mean Rasmussen radiological score was 13.3 \u00b1 3.5 (excellent in three (13.6%) cases, good in fifteen (68.2%), and acceptable in four (18.2%)). The mean SF-12 score was 35.1 \u00b1 10.4 points on the physical scale and 53.0 \u00b1 10.6 points on the mental scale. Conclusions: CEF has shown itself to be a valid treatment for patients with Schatzker type VI fractures, particularly for those where the fracture is comminuted, severely displaced, open, or associated with severe soft tissue damage.<\/jats:p>","DOI":"10.3390\/jcm13051249","type":"journal-article","created":{"date-parts":[[2024,2,22]],"date-time":"2024-02-22T08:34:35Z","timestamp":1708590875000},"page":"1249","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Treatment of Schatzker Type VI Tibia Fractures Using Circular External Fixation: State of the Art, Surgical Technique and Results"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0784-2425","authenticated-orcid":false,"given":"Javier","family":"Mart\u00ednez Ros","sequence":"first","affiliation":[{"name":"Servicio de Cirug\u00eda Ortop\u00e9dica y Traumatolog\u00eda, Unidad de Patolog\u00eda S\u00e9ptica Osteoarticular, Hospital Cl\u00ednico Universitario Virgen de la Arrixaca, 30120 Murcia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alonso","family":"Escudero Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Servicio de Cirug\u00eda Ortop\u00e9dica y Traumatolog\u00eda, Hospital Cl\u00ednico Universitario Virgen de la Arrixaca, 30120 Murcia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miguel","family":"Mart\u00ednez Ros","sequence":"additional","affiliation":[{"name":"Servicio de Cirug\u00eda Ortop\u00e9dica y Traumatolog\u00eda, Hospital Cl\u00ednico Universitario Virgen de la Arrixaca, 30120 Murcia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9","family":"Molina Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"Servicio de Cirug\u00eda Ortop\u00e9dica y Traumatolog\u00eda, Unidad de Patolog\u00eda S\u00e9ptica Osteoarticular, Hospital Cl\u00ednico Universitario Virgen de la Arrixaca, 30120 Murcia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda","family":"Carrillo Garc\u00eda","sequence":"additional","affiliation":[{"name":"Servicio de Radiodiagn\u00f3stico, Hospital Cl\u00ednico Universitario Virgen de la Arrixaca, 30120 Murcia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan Pedro","family":"Garc\u00eda Pa\u00f1os","sequence":"additional","affiliation":[{"name":"Servicio de Cirug\u00eda Ortop\u00e9dica y Traumatolog\u00eda, Hospital Cl\u00ednico Universitario Virgen de la Arrixaca, 30120 Murcia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Pablo","family":"Puertas Garc\u00eda-Sandoval","sequence":"additional","affiliation":[{"name":"Servicio de Cirug\u00eda Ortop\u00e9dica y Traumatolog\u00eda, Hospital Cl\u00ednico Universitario Virgen de la Arrixaca, 30120 Murcia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C\u00e9sar","family":"Salcedo C\u00e1novas","sequence":"additional","affiliation":[{"name":"Servicio de Cirug\u00eda Ortop\u00e9dica y Traumatolog\u00eda, Unidad de Patolog\u00eda S\u00e9ptica Osteoarticular, Hospital Cl\u00ednico Universitario Virgen de la Arrixaca, 30120 Murcia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,2,22]]},"reference":[{"key":"ref_1","first-page":"94","article-title":"The tibial plateau fracture: The Toronto experience 1968\u20131975","volume":"138","author":"Schatzker","year":"1978","journal-title":"Clin. 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Clin."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/5\/1249\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T14:03:11Z","timestamp":1760104991000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/5\/1249"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,22]]},"references-count":57,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2024,3]]}},"alternative-id":["jcm13051249"],"URL":"https:\/\/doi.org\/10.3390\/jcm13051249","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,22]]}}}