J Korean Fract Soc.
1997 Jan;10(1):44-52.
Operative Treatment of the Tibial Condylar Fracture
- Affiliations
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- 1Department of Orthopedic Surgery, Lee-Rha General Hospital, Cheungju, Korea.
- 2Department of Orthopedic Surgery, Chonbuk University Hospital Medical institute of Medical Science Chonju, Korea.
Abstract
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The tibial condylar fracture which involves articular surface of the proximal tibia is common in pedestrian injury of the traffic accident and often produces some disability of the knee joint because of the frequent association with ligamentous and meniscal injuries. Methods of treatment in fracture of the tibial condyles has long been a controversial problems. Recently most authors agree that the method of treatment has to be selected in each individual case and anatomical reduction of fracture and early knee motion are recommended but unsatisfactory results has been reported as between 20% and 40%.
The authors analyzed 38 cases of the tibial condylar fractures, which were treated at the orthopedic department of the Lee-Rha general Hospital from 1990 to 1994, regarding its type, treatment and results.
The results of this study were as follows.
1. According to Schatzker classification : the most common fracture was type II.
2. According to BloDers criteria, 28 cases showed satisfactory results(74%).
3. Postoperatively, early knee joint exercise like alternatively applying 90(knee flexion and extension splint were very important factors for good results).