J Korean Orthop Assoc.  1971 Jun;6(2):119-124. 10.4055/jkoa.1971.6.2.119.

Tibial Condylar Fracture: Clinical Sutdy on 16 Cases

• Rim CS
• Sonn JM

• KMID: 2463973
• DOI: http://doi.org/10.4055/jkoa.1971.6.2.119

Abstract

The short term result of clinical study was reported here of 16 tibial condylar fractures treated at the Department of Orthopedic Surgery, Kwang-ju Hospital from Jan. 1967 to Dec 1969. The evaluation was done according to the classification of Hohl (1967). Among 16 cases of the tibial condylar fractures, 12 being lateral, 3 bicondylar and 1 medial. 6 were treated by means of closed reduction under anesthesia and skeletal traction and 10 underwent open reduction. The indication of open reduction and reconstructive surgery was the failure of the initial attempt of closed reduction and extremely unstable knee joint owing to ligamentous injuries with fracture. As the associated soft, tissue injuries, 6 of torn collateral ligaments were detected and 4 of torn cruciate ligaments were discovered. In 8 of the 10 patients operated, torn of the menisci were demonstrated indicating that the incidence of injury is almost proportional to the severity of the initial violence. The clinical end results were devided to acceptable 12 (75%),and unacceptable were 4 (25%) respectively. The better prognosis largely depends on the more accurate reduction, soft tissue reconstruction and early mobilization of the joint.

MeSH Terms

Anesthesia
Classification
Clinical Study
Collateral Ligaments
Early Ambulation
Gwangju
Humans
Incidence
Joints
Knee Joint
Ligaments
Orthopedics
Prognosis
Traction
Violence

Figure

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  Fig. 1 Classification of the Fracture. (Hohl. 1967)

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  Fig. 2

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  Fig. 3

Reference

1. Apley A. C. Fracture of the Lateral Tibial Condyle Treated by Skeletal Traction and Early Mobilization. J. Bone and Joint Surg. 1965; Aug. 38-B:699–708.

2. Barr J.S.The Treatment of Fracture of the Experimental Tibial Condyle (Bumper Fracture). J. Am. Med. Assm. 115:1683–1667. 1940; (Cited from J. Bone and Joint Surg. 1950, Jan; 32-A No. 1. 39-46.

3. Bradford C.H, kilfoyle Keller I.J., Magill H.K.Fracture of the Lateral Tibial Condyle. J. Bone and Joint Surg. 1950; Jan. 23—A:39–47.

4. Brantigan G.N., Voshell A.F. The Mechanics of the Ligaments and Menisci of the Knee Joint. J Bone and Joint Surg. 1941; Jan. 23:44–66.

5. Crenshaw E. H.Campbell’s Operative Orthopedics. 1963. Ed. 4. The C.V.M. osby Ca.;p. 806.

6. Caldweel EH. Fracture of the Condyle of the Tibia. Surg., Gyne and Obstet. 63:518–522. 1936; (Cited from J. Bone and Joint Surg., 50 8 No. 8. Dec. 1968.).

7. Cave E.A Fracture and other Joint Injuries. 1961. The Year Book Publishers, Inc;p. 544–548.

8. Cornell C.M., Hardy R.C. Plateau Fracture of the Tibia. Surg. 1950; 2857:35–748.

9. Cotton F.J. Fender Fractures. Surg., and Gynec., and Obstet. 1936; 62:442–443. (Cited from J. Bone and Joint Surg., 50-A No. 0.: 1505—1521. DEC. 1966’.

10. Cubbins W.R, Conley A.H., Callahan J.J., Schuderi C.S.Fracture of the Lateral Condyle of the Tibia. Classification Pathology and Treatment‘. Surg. Gyne. and Obstet. 1934; 59:461–468. (Cited from J. Bone and Joint Surg. 32—A No. I.39 47 Jan.1950.).

11. Cubbins W.R, Conley AH., Seifert G.S.Fractures of the Lateral Tibial Tubekosity of the Tibia and Displacement of the Lateral Meniscus be tween the Fragments. Srgn., Gyne, and Obstet. 1929; 48:100–108. (Cited from I. Bane and Joint Surg. 32—A No. 1. 39417. Jan. 1 950. D.

12. Cotton F.T., Richard Berg. “Fender Fracture” of the Tibia at the Knee. New England J. Med. 201:989–995. 1939; (Cited from J. Bone and Surg. 32-A No. 1. 1950).

13. Gylling U., Lindholm R. Fracture of the Tibial Condyle. Annales Chirurgiae et Gynacolosiae. 42:229. 1953; (Cited from J. Bone and Joint Surg., 38—B No. 3. 669—708, Aug.1956.).

14. Hohl Mason and Luck J.V. Fractures of the Tibial Condyles A Clinical and Experimental Study. J. Bone and Joint Surg. 1956; 38—A:1001–1018. Oct.

15. Hohl, Mason. : Tibial Condylar Fracture. J. Bone and Joint Surg. 49-A:1455–1467.

16. Hömigschmied, Johnn. Leichenexperimente über Zerreisungen der Bender im Kniegelenk. Deutsche Zeitschr. f Chin. 1893; 36:587–620. (Cited from J. Bone and Joint Surg., 34-A 436, 1962.).

17. Kennedy J.C., Bailey W.H. Experimental Tibial Plateau Fractures. J. Bone and Joint Surg. 1968; 50-A:1522–1534. Dec.

18. Maisel Bernard and Cornell N. W. Conservative Treatement of Fractures of the Tibial Condyles. Surg. 1948; 23:591–198.

19. Martin A.F. The Pathomechanics of the Knee Joint The Medial Collateral Ligament and Lateral Plateau Fractures. J. Bone and Joint Surg. jan. 42-A:13–22. 1960.

20. O’Donoghue D.H. An Analysis of End Result of Surgical Treatment of Major Injuries to the Ligaments of the Knee. J. Bone and Joint Surg. 1955; Jan. 37—A:113.

21. Robert J.M. Fractures of the Condyles of the Tibia. J. Bone and Joint Surg. 1968; 50-A:1505–1521.

22. Sever J.W. Fractures of the Tibial Spine Combined with Fracture of the Tuberosihes of the Tibia Surg. Gyne., and Obstet. 1922; 35:558–564. (Cited from]. Bone and Joint Surg., 32-A, No. 1. Jan. 1950.).

23. Wilson W.J., Jacobs J.E. Patella Graft for Severly Depressed comminuted Fractures of the Lateral Tibial Candyles. J. Bone and Joint Surg. 34—A:436. 1952.

24. Watson—Jones, Reginald: Fractures and Joint Injuries. 1955. 4th Ed.Baltimore: The Williams and Wilkins Co..