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J Yeungnam Med Sci > Volume 20(2); 2003 > Article
Yeungnam University Journal of Medicine 2003;20(2):177-186.
DOI:    Published online December 31, 2003.
Treatment of Tibial Condyle Fracture.
Dong Chul Lee, Oog Jin Shon, Sung Hyuk Park
Department of Orthopaedic Surgery College of Medicine, Yeungnam University, Daegu, Korea.
BACKGROUND: Clinical and radiological results based on fracture types and associated injuries after the treatment of tibial plateau fracture were evaluated for analyzing prognostic factors. MATERIALS AND METHODS: From June 1997 to June 2002, 50 cases were followed for at least 1 year. Mean age was 47.4 years, and mean follow period was 30.0 months. Fracture classification was performed by the Schatzker method. Clinical and radiological evaluation were performed by the Porter and Rasmussen method. Evaluation was based on degree of reduction and associated injuries, etc. RESULTS: The most common cause of injury was traffic accident (37 cases, 74%), The common fracture types by Schatzker classification were type II (14 cases) and VI (12 cases). Methods of treatment were screw fixation (15 cases), plate and screw (21 cases), external fixator (5 cases), and conservative treatment (9 cases). The most common associated injuries were ipsilateral fibular fracture (18 cases) and MCL (medial collateral ligament) injury (8 cases). CONCLUSION: Acceptable results after treatment of tibial plateau fracture were obtained from the anatomical reduction group, non-associated injury group, the young age group, and the early ROM (range of motion) beginning group.
Key Words: Tibial plateau fracture, Schatzker type, Porter and Rasmussen evaluation


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