[Operative treatment of tibial condylar fracture].
OBJECTIVE
To analyse operative treatment of fresh and closed tibial condylar fractures.


METHODS
In 92 patients (93 fractures) 87 were followed-up for 12-36 months (average 18.6 months). A rasmussen's 30-point knee rating system was used.


RESULTS
74 patients showed (84%) excellent results, 7 (8%) good and 7 (8%) poor. The success rate was 92%.


CONCLUSIONS
To ensure excellent clinical results proper internal fixation should be based on (1) anatomic reduction; (2) adequate rigid internal fixation with screws or buttress plate(s) or both, and bi-condylar fixation if necessary; (3) bone grafting on all depressed areas; (4) early knee mobilization using CPM after the operation and avoiding external plaster fixation.
Liu
J
J
Traumatology & Orthopedics Department, Jishuitan Hospital, Beijing 100035.
Rong
G
G
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods; D005596:Fractures, Closed / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013978:Tibial Fractures / Q000601:surgery*; D016896:Treatment Outcome