The methods of treatment for comminuted intra-articular fractures of the tibia in the materials of Department of Orthopedic Injuries at the Military Special Hospital in Lublin
Radziejewicz, P.; Szymczyk, Z.
Chirurgia narzadow ruchu i ortopedia polska 63(6): 563-566
1998
ISSN/ISBN: 0009-479X PMID: 10093407 Document Number: 490380
Twenty-one patients (9 males, 12 females) aged 14-73 years (mean 46 years) with proximal tibia fracture were treated between 1993 and 1995. Surgery was performed in 12 recent cases and in 3 inveterate ones. Non-surgical treatment was used in 5 recent fractures and 1 inveterate. Follow-up ranged from 0.5 to 6 years. "L" plate, "T" plate, spongious screws, Kirchner wires were used for fixation. Lateral condyle depression used to be elevated and supported by bone graft harvested from the iliac crest. Functional treatment or 4 weeks plaster cast immobilization was used postoperatively. In majority of cases pain free knee joint with flexion over 90 degrees was found 3 months after surgery. All patients returned to work. There were 7 excellent results and 5 good ones according to Rasmussen criteria.