The results of tibial plateau fractures that were treated operatively
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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