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 | ||||||||||||||||