The operative treatment of intra-articular fractures of the lower end of the tibia

Intra-articular fractures of the lower end of the tibia are an interesting challenge. The best functional results in the past series were observed in patients treated according to the following 4 sequential principles: (1) reconstruction of the correct length of the fibula; (2) anatomical reconstruc...

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Veröffentlicht in:Clinical orthopaedics and related research 1979-01 (138), p.105-110
Hauptverfasser: Rüedi, T P, Allgöwer, M
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creator Rüedi, T P
Allgöwer, M
description Intra-articular fractures of the lower end of the tibia are an interesting challenge. The best functional results in the past series were observed in patients treated according to the following 4 sequential principles: (1) reconstruction of the correct length of the fibula; (2) anatomical reconstruction of the articular surface of the tibia; (3) insertion of a cancellous autograft to fill gaps left by impaction and comminution; (4) stable internal fixation of the fragments by a plate placed on the medial aspect of the tibia. Seventy-five cases had a good or excellent late result (on average 6 years postoperatively) in 70% as compared to 43% to 55% in cases treated by closed and/or open methods.
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source MEDLINE; Journals@Ovid Complete
subjects Adult
Aged
Ankle Injuries
Athletic Injuries - surgery
Bone Plates
Bone Transplantation
Female
Fracture Fixation, Internal
Fractures, Bone - surgery
Humans
Male
Middle Aged
Postoperative Complications
Skiing
Tibial Fractures - surgery
Transplantation, Autologous
title The operative treatment of intra-articular fractures of the lower end of the tibia
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