title: Complex fractures of the tibial plateau.
abstract: Out of 142 consecutive cases of fracture of the tibial plateau 48 cases (34%) of complex fractures are taken into consideration. Surgical treatment is based on two types of osteosynthesis: 1) osteosynthesis "of election" with interfragmentary plates and screws, which was used in most of the cases; 2) minimal osteosynthesis with Barr or lag screws, when there are lesions of the soft tissue and capsuloligamentous lesions. A total of 69% of the results were satisfactory (good and excellent). The most unfavorable prognostic factors are comminution of the fracture and residual widening of the tibial plateau.
authors.affiliation: I Clinica Ortopedica-Istituto Ortopedico Rizzoli, Bologna.
authors.forename: P
authors.initials: P
authors.lastname: Ruggieri
authors.forename: R
authors.initials: R
authors.lastname: Biagini
authors.forename: N
authors.initials: N
authors.lastname: Ruggieri
authors.forename: S
authors.initials: S
authors.lastname: Pavone
authors.forename: P
authors.initials: P
authors.lastname: Bungaro
mesh_terms: D001860:Bone Plates; D001863:Bone Screws; D005593:Fracture Fixation, Internal / Q000379:methods; D006801:Humans; D011379:Prognosis; D011859:Radiography; D012074:Remission Induction; D013978:Tibial Fractures / Q000145:classification / Q000000981:diagnostic imaging / Q000601:surgery*