J Korean Fract Soc.  1998 Jan;11(1):214-225.

Treatment of the Tibial Condyle Fracture

• Han SH
• Yang BG
• Kim CH
• Ahn TW
• Jeong ST

Abstract

A fracture of the tibial condyle is an intra-articular fracture of a major weight bearing joint and loss of function result in high percentage disability of the extremity. The goal of tibial condyle fracture management is a stable, well-aligned, congruent joint, with a painless range of motion and function. The management of tibial condyle fractures remains controversal. Many authors have stated that anatomical restoration of the articular surface and stable internal fixation are essential for these goals to be attained, but good results have also been reported after the conservative treatment. So the method of treatment has to be selected in each individual cases. We evaluated the 35 tibial plateau fractures, 17 treated by conservative method and 18 treated by surgery, at an average follow up of 17 months. The results were obtained as follows; 1. The most common cause of injury was motor vehicle accident in 25 cases(71.5%). 2. According to Schatzker classification, the most common type was typeII in 12 3. Associated soft tissue injuries were in 19 cases(54.3%). Among these, meniscal injuries were most common(in 13 cases). 4. According to Hohl and Luck criteria, the clinical results were acceptable in 11 to 17 cases (64.7%) after non-operative methods and 14 of 18 cases(78%) after operative methods.

Keyword

Tibial condyle fracture

MeSH Terms

Classification
Extremities
Follow-Up Studies
Intra-Articular Fractures
Joints
Motor Vehicles
Range of Motion, Articular
Soft Tissue Injuries
Weight-Bearing