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[Operative treatment of tibial condylar fracture]
Objective:
To analyse operative treatment of fresh and closed tibial condylar fractures.
Method:
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.
Result:
74 patients showed (84%) excellent results, 7 (8%) good and 7 (8%) poor. The success rate was 92%.
Conclusion:
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.
