Tratment of tibial condylar fractures.

概要

論文の詳細を見る
Patient with tibial condylar fractures who have been treated in this Hospital since 1977 have been evaluated placing emphasis on the interrelationship between the degree of anatomical reposition and the functional prognosis.The study included 12 males and 3 females, a total being 15 patients. The age of the patients at the time of sustained trauma ranged between 17 and 72 years, with a mean of 51.7 years. The cause of the trauma was traffic accidents in 12 patients and labor associated accidents in 3. According to the classification of fractures by Hohl & Luck, an undisplaced type was seen in one patient, a central depression type in 2 patients and split depression, total depression and comminuted types in 4 patients respectively. The depth of the traumatic depression in the tibial condyle ranged from 0 to 12mm at the time of injury, with a mean of 7.5mm. It varied from 0-8mm during the follow-up period, with a mean of 2.5mm. Conservative treatment was followed in 2 patients, and surgical treatment in 13. Bone transplantation was used as well in 3 of these patients who had severe involvement and a depth of traumatic depression in the tibial condyle of more than 10mm at the time of injury. The postoperative results were excellent in 7 patients (47%), good in 6 (40%) and moderate in 2 (13%), with a satisfactory outcome. Six patients (40%) were unable to function normally, but an unstable knee joint was not seen in any of the patients.