J Korean Orthop Assoc.  1990 Dec;25(6):1657-1664. 10.4055/jkoa.1990.25.6.1657.

Fractors Influencing the Results of Operative Treatment of Tibial Plateau Fractures

• Cho HO
• Kwak KD
• Cho SD
• Lee SI

• KMID: 2443185
• DOI: http://doi.org/10.4055/jkoa.1990.25.6.1657

Abstract

Fractures of the tibial plateau involve a major weight-bearing joint, Thus, to achieve good joint function one must strive to achieve joint congruity, axial alignment, stability, and a satisfactory range of motion. Present operative treatment of tibial plateau fractures utilizes the principles of anatomical reduction, elevation of the plateau en masse, bone grafting of the defect in the metaphysis, stable internal fixation and early joint motion. Authors reviewed the 45 tibial plateau fractures operatively treated at Dong-Kang Hospital from Jan. 1983 to Dec. 1988 and analyzed the possible factors that could influence the results. Factors that may adversely affect the results were 1) old female. 2) Hohl Type VI, 3) delayed operation, 4) inadequate reduction, 5) no bone graft, 6) meniscectomy, 7) cruciate ligament injury, and 8) delayed exercise.

Keyword

Prognostic Factors; Results; Tibial Plateau Fracture

MeSH Terms

Bone Transplantation
Female
Humans
Joints
Ligaments
Range of Motion, Articular
Transplants
Weight-Bearing