Fractors Influencing the Results of Operative Treatment of Tibial Plateau Fractures
10.4055/jkoa.1990.25.6.1657
- Author:
Hyoun Oh CHO
;
Kyung Duk KWAK
;
Sung Do CHO
;
Sun Il LEE
- Publication Type:Original Article
- Keywords:
Prognostic Factors;
Results;
Tibial Plateau Fracture
- MeSH:
Bone Transplantation;
Female;
Humans;
Joints;
Ligaments;
Range of Motion, Articular;
Transplants;
Weight-Bearing
- From:The Journal of the Korean Orthopaedic Association
1990;25(6):1657-1664
- CountryRepublic of Korea
- Language:Korean
-
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.
