title: [The results of surgical treatment of tibial plateau fractures].
abstract: Between 1995-2003 84 patients were treated because of the tibial plateau fracture in the Department of Orthopaedics of Gdansk Medical University. 47 patients were evaluated at the follow-up. In the pure cleavage fractures after joint opening an open reduction and internal fixation via screws or buttress plate was performed. In the cleavage fractures combined with depression the treatment consisted of: open reduction, elevation of the depressed plateau "en mass", bone grafting of the metaphysis, fixation of the fracture with cancellous screws and buttress plating. Rasmussen modified scale was used to assess the outcome. Resnick and Niwoyama criteria were used in calculating the degree of the degenerative changes. The clinical results were very good in 5 patients, good in 26, fair in 9 and poor in 5 patients. In the radiological assessment a very good result were observed in 8 patients, good in 28, fair in 7 and poor in 4 patients. An anatomical reduction of the articular surface together with stable internal fixation of the fracture site decreases the risk of the degenerative changes and helps to achieve a good final result.
authors.affiliation: Kliniki Ortopedii i Traumatologii Narzadu Ruchu, Akademia Medyczna w Gdańsku.
authors.forename: Witold
authors.initials: W
authors.lastname: Zarzycki
mesh_terms: D000328:Adult; D000368:Aged; D001182:Arthroscopy; D001860:Bone Plates; D016025:Bone Transplantation; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D017102:Fracture Healing; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011859:Radiography; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome