title: [Results of treating comminuted fractures of the distal end of the tibia].
abstract: Fifty-seven cases of comminuted fractures of the distal end of the tibia, inclusive of 9 cases of open fractures have been treated between 1987 and 1992. The fractures were rated according to the Ruedi-Allgower classification. Modalities of treatment used by the authors have been discussed. Long-term results have been assessed in 40 cases. Twenty of them were rated good, 13 fair and 7 bad. In 20 cases osteoarthritis of the talocrural joint has been found. Conservative treatment or minimal surgery (fixation of the fibula) rendered good and fair results in grade I and II fractures. Majority of bad results was found in grade III fractures due to the severe destruction of the articular surfaces of the talocrural joint.
authors.affiliation: II Oddziału Urazowo-Ortopedycznego Szpitala Chirurgii Urazowej w Warszawie.
authors.forename: A
authors.initials: A
authors.lastname: Wasikowski
authors.forename: P
authors.initials: P
authors.lastname: Opaliński
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005596:Fractures, Closed / Q000601:surgery*; D005597:Fractures, Open / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010003:Osteoarthritis / Q000209:etiology; D011183:Postoperative Complications; D013978:Tibial Fractures / Q000601:surgery*; D016896:Treatment Outcome