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KMID : 0361619770120030469
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Journal of the Korean Orthopaedic Association
1977 Volume.12 No. 3 p.469 ~ p.476
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Clinical Observation of Tibial Plateau Fracture
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Abstract
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The tibial plateau fracture is a common fracture in the knee joint. Tibial plateau fracture involves most always the articulating cartilage and produce the disability of the knee joint oftenly.
The 25 cases of tibial fractures have been classified by Hohl´s method and analysed their clinical courses more than three month period. The 13 cases out of 25 had treated in conservative method such .as plaster of Paris with or without closed reduction. Remaining 12 cases were treated operatively due to the failure of closed reduction or associated injury of major ligaments. More than 8 mm of depression or 5 mm split of the plateau fragment is classified as failure of closed reduction.
Excellent end result is ´obtained in Zl cases with free of pain on walking and full range of joint motion without instability and muscle weakness. Three cases were classified as Good result with occasional -,pain on walking, range of joint motion is available more than 0^90 degree and good grade of muscle dower without instability. One case.. was door in result with instability of joint and pain on walking.
The radiological end result of accurate reduction of fragment is not closely correlated with functional result in the treatment of tibial plateau ~ fracture. The most important factor in the treatment of tibial plateau fracture is the exercises of the joint as early as possible.
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