[Surgical treatment of fractures of the tibial condyli].
Problems of diagnosis, choice of the therapeutic tactics, and the results of operative treatment in 23 patients with various fractures of the tibial condyles are analysed. Computed tomography of the knee joint is recommended for precise diagnosis of injuries to the proximal metaepiphysis of the tibia. The authors recommend an operative intervention in any displacement of a condyle (condyles) in patients of mature age and in fractures of a condyle (condyles) without displacement but combined with other intraarticular injuries (to the ligaments, menisci) which are corrected in one-stage with osteosynthesis. The choice of the method for osteosynthesis is determined by the character and direction of the plane of the fracture, and the manipulation may be carried out with AO compression screws or an AO supporting plate on screws. Primary autospongiosoplasty is recommended in all cases of condylar fractures with depression of the articular cartilage. The performance of stable osteosynthesis makes it possible to decline immobilization of the knee joint in the postoperative period even after primary restoration of the collateral ligaments. Study of the late-term results of treatment confirm the expediency of wider introduction of these methods into trauma-tological practice.
Girshin
S G
SG
Dubrov
V E
VE
Komarov
A A
AA
D001858:Bone Nails; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D007718:Knee Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D013978:Tibial Fractures / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed
Operativnoe lechenie oerelomov myshchelkov bol'shebertsovoĭ kosti.