Arthroscopic-assisted Treatment of the Tibial Condylar Fracture.
- Author:
In Suk OH
;
Myung Ku KIM
;
Suk Myun KO
;
Kyu Jung CHO
;
Rhuh Sub KIM
;
Ki Wook KIM
- Publication Type:Original Article
- MeSH:
Arthroscopy;
Humans;
Knee
- From:Journal of the Korean Knee Society
1999;11(1):110-115
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Recently, there are many good reports on the arthroscopic management of tibial condylar fractures. But, it may be appropriate for selected tibial condylar fractures and also needs a skilled technique. So we report the results of the tibial condylar fractures treated by the arthroscopy and limited percutaneous fixation or the arthroscopic-assisted management with conventional internal fixation without arthrotomy. MATERIALS AND METHODS: From June 1996 to December 1997, we treated 22 cases of the tibial condy- lar fractures including relatively comminuted one and analysed the results of patients who have been observed at least 1 year with Porters knee evaluation criteria. RESULTS: In 18 out of 22 cases, the results were Acceptable on symptoms(excellent 3, good 15, fair 4), in 18, on function(excellent 10, good 8, fair 3), in 21, on appearance(excellent 12, good 9, fair 1) and in 20, on radiographic appearance(excellent 11, good 9, fair 2). Overall results were Acceptable in 18 cases(82%) and Unacceptable in 4 cases(18%). CONCLUSION: The arthroscopic-assisted management with conventional internal fixation without arthrotomy can be the recommendable treatment for the tibial condylar fractures, including relatively comminuted one, without complications.
