The results of tibial plateau fractures that were treated operatively

Irfan Esenkaya, Hasan Bombaci, Mustafa Seyhan, Saba Aydogdu, I. Metin Turkmen


35 patients with plateau fractures were treated operatively between January 1992- December 1995, in our department. 24 patients whom we could have enough follow-up were included in the study. There were 6 women and 18 men. The average age was 37.1 (28-60). The average duration of follow-up was 18.5 months (6-48 months). 5 patients had additional injuries besides tibial plateau fractures. 3 of the cases were open fractures. Plate-screw was applied to 11 cases, plate-screw-grafting was applied to 6 cases, screw was applied to 5 cases, Ilizarov was applied to one case and external fixator was applied to the other one. In addition, meniscectomy was performed in 5 patients. The fractures were reviewed according to Hohl and Moore classification. Our cases were classified as 2 type I, 1 type II, 13 type III, 2 type IV and 6 type V. The patients were evaluated according to the criteria of Rasmussen and the modified version of criteria of Hohl and Luck. Our results were excellent, 11 good, 5 fair and 4 poor according to the classification of Hohl and Luck. We concluded that, to gain a functional knee joint in the displaced and unstable tibial plateau fractures, anatomical reduction, stable internal fixation, and early motion are necessary.

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Acta Orthopaedica et Traumatologica Turcica