[Classification and treatment of fracture of the tibial plateau].
Classification of fracture of the tibial plateau and the results of treatment of 30 cases are as follows. Type 1, One or both condylar fracture without displacement or if any, it is less than 5 mm and with a depression less than 2 mm. 6 of 8 cases with this kind of fracture were handled non-operatively, and the remaining 2 operatively, open reduction and internal fixation. All the 8 patients (100%) got excellent or good results. Type 2, One or both condylar fracture with displacement and depression less than 10 mm each. 12 patients had this type of injury which was reduced by poking and fixed with bolt or wire. 95.83% of the patients got excellent or good results. Type 3, Comminuted fracture of one or both condyles associated with unstable Fracture of upper tibia. 7 of 10 cases having this sort of fracture were reduced by poking reduction with or without bone grafting and fixed with grooved angle plate. Result of the 7 patients (100%) was excellent or good. While the other 3, their operations were delayed because of local condition. The operative procedures were same except for fixation either with pins or Kirchner's wire. The results of these 3 patients were excellent or good in 85.19%. We feel that the favourable time for operation is within the first week after trauma; perfect reduction, rigid fixation and early motion of the joint are essential for expected outcome.
Yu
X J
XJ
General Hospital of Beijing Unit of PLA.
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005593:Fracture Fixation, Internal; D006801:Humans; D008297:Male; D008875:Middle Aged; D013978:Tibial Fractures / Q000145:classification* / Q000601:surgery; D013997:Time Factors