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KMID : 0361619960310030484
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Journal of the Korean Orthopaedic Association
1996 Volume.31 No. 3 p.484 ~ p.489
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Operative Treatment of Tibial Bicondylar Fracture
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윤형구
오국환/강경훈/김진일/박민호
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Abstract
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Fractures involving both tibial plataeus result form high energy trauma such as a traffic accidents or falls, and it is frequently accompanied by soft tissue injuries. Thus it is very difficult to treat these fractures satisfactorily and severe
complications can be caused.
The purpose of study is to analyze the clinical results, complication and factors influencing the results after open reduction and internal fixation of tibial bicondylar fractures.
Twenty cases(19 patients) of tibial bicondylar fractures which had been treated by open reduction and internal fixation from January 1989 to December 1994 were analyzed after 1 to 5 years follow-up.
@ES The results were as follows.
@EN 1. By AO classification, the most common type was C3(13 cases).
2. According to Blokker's criteria, 5 cases was unsatisfactory and all of these cases were C3.
3. Unsatisfactory results were 3 cases of reduction loss(angular deformity), one case of deep infection and one case of unresolved peroneal nerve palsy.
4. Tibial tubercle osteotomy, bone graft and medial buttress plate were important for anatomical reduction and maintenance.
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KEYWORD
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