관절경 감시하 경골과 골절의 정복 및 고정에서 관절경의 역할

Since the tibial condylar fractures violate the articular surface of the knee, they are frequently accompanied hy the injuries ot the ligaments and/or menisci. They are affecting not only the alignment of lower leg, hut also ihe stability and movement of knee joint. The authors analyzed arthroscopic findings of thirty-one cases of tibial condylar fracture which werc treate3 by reduction under arthroscopic guidance, internal fixation and bone graft during the period from May 1993 to May l993. The results are as follows. 1. There were twenty(65% ) lateral, seven(23%) medial, and four(12%) both condylar fractures. 2. Ten cases of meniscal injury and three cases of anterior cruciate ligament injury were noted. 3. All meniscai injuries (10 cases) occurred in lateral side and 6 cases were accompanied by lateral condylar fractures while 4 cases were accompanied hy medial condylar fractures 4. Three ACL injuries were avulsion rupture in 1 case, partial tear in I case, and substance tear in 1 case. From the above results, it is clear that tibial condylar fractures are frequently associated with intraarticular lesions such as meniscal injury and ACL tear. Therefore routine arthroscopic examination could be recommended because it not only helps to reduce the fracture under direct vision, hut also enables to detect intraarticular lesions which in our study showed higher frequency than that were formerly known.