Complex fractures of the tibial plateau
Ruggieri, P.; Biagini, R.; Ruggieri, N.; Pavone, S.; Bungaro, P.
La Chirurgia Degli Organi di Movimento 76(3): 209-215
1991
ISSN/ISBN: 0009-4749 PMID: 1816981 Document Number: 386368
Out of 142 consecutive cases of fracture of the tibial plateau 48 cases (34%) of complex fractures are taken into consideration. Surgical treatment is based on two types of osteosynthesis: 1) osteosynthesis "of election" with interfragmentary plates and screws, which was used in most of the cases; 2) minimal osteosynthesis with Barr or lag screws, when there are lesions of the soft tissue and capsuloligamentous lesions. A total of 69% of the results were satisfactory (good and excellent). The most unfavorable prognostic factors are comminution of the fracture and residual widening of the tibial plateau.