Clinical Observation of Tibial Plateau Fracture
10.4055/jkoa.1977.12.3.469
- Author:
Chung Nam KANG
;
Jin Man WANG
;
Ki Hong CHOI
;
Yong Man PARK
;
Kwang Jong CHANG
- Publication Type:Original Article
- MeSH:
Calcium Sulfate;
Cartilage;
Depression;
Exercise;
Joints;
Knee Joint;
Ligaments;
Methods;
Muscle Weakness;
Tibial Fractures;
Walking
- From:The Journal of the Korean Orthopaedic Association
1977;12(3):469-476
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The tibial plateau fracture is a common fracture in the knee joint. Tibial plateau fracture involves most always the articulating cartilage and produce the disability of the knee joint oftenly. The 25 cases of tibial fractures have been classified by Hohls method and analysed their clinical courses more than three month period. The 13 cases out of 25 had treated in conservative method such as plaster of Paris with or without closed reduction. Remaining 12 cases were treated operatively due to the failure of closed reduction or associated injury of major ligaments. More than 8 mm of depression or 5 mm split of the plateau fragment is classified as failure of closed reduction. Excellent end result is obtained in 21 cases with free of pain on walking and full range of joint motion without instability and muscle weakness, Three cases were classified as Good result with occasional pain on walking, range of joint motion is available more than 0~90 degree and good grade of muscle power without instability. One case was poor in result with instability of joint and pain on walking. The radiological end result of accurate reduction of fragment is not closely correlated with functional result in the treatment of tibial plateau fracture. The most important factor in the treatment of tibial plateau fracture is the exercises of the joint as early as possible.
