J Korean Fract Soc.
2001 Apr;14(2):298-304. 10.12671/jksf.2001.14.2.298.
Operative Treatment of the Type I and II Tibial Plateau Fracture
- Affiliations
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- 1Department of Orthopaedic Surgery, Ansan Hospital, Korea University, Ansan, Korea. Parkjw@korea.ac.kr
- KMID: 1999436
- DOI: http://doi.org/10.12671/jksf.2001.14.2.298
Abstract
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PURPOSE: To know the functional and radiologic results of the operative treatment for the type I and II tibial plateau fractures according to the methods of internal fixations.
MATERIALS AND METHODS
Twenty-six patients, who had been treated with open reduction and internal fixation for the type 1 or 2 tibial plateau fractures were evaluated. Twelve cases of type 1 fractures were fixated with 1 lag screw in 5, 2 lag screws in 4 and buttress plate in 3. Fourteen cases of type 2 fractures were fixated with 1 lag screw in 4, 2 lag screws in 6 and buttress plate in 4. The criteria of Hohl and Porter was used for the evaluation of the clinical and radiological results.
RESULTS
There was no significant difference in the clinical result in type 1 and 2 tibial plateau fractures according to the methods of fixations. And the radiological results were not significantly different in both of type 1 and 2 fractures.
CONCLUSION
If the anatomical reduction of the articular surface can be achieved, the methods of fixation for the type 1 and 2 tibial plateau fractures do not affect the final clinical and radiological results.
