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Complex fractures of the tibial plateau
P Ruggieri1, R Biagini, N Ruggieri
1I Clinica Ortopedica-Istituto Ortopedico Rizzoli, Bologna.
La Chirurgia Degli Organi Di Movimento
|July 1, 1991
Abstract:
Out of 142 consecutive cases of fracture of the tibial plateau 48 cases (34%) of complex fractures are taken into consideration. Surgical treatment is based on two types of osteosynthesis: 1) osteosynthesis "of election" with interfragmentary plates and screws, which was used in most of the cases; 2) minimal osteosynthesis with Barr or lag screws, when there are lesions of the soft tissue and capsuloligamentous lesions. A total of 69% of the results were satisfactory (good and excellent). The most unfavorable prognostic factors are comminution of the fracture and residual widening of the tibial plateau.