The tibia plateau fractures are more common and severe than past decade because of increased traffic accident and industrial injury recently. There are many argument about treatment of tibia plateau fractures, but the main goal of treatment is to
achived a stable, well-a-ligned, movable joint with minimum surface irregularities and with adequate soft tissue healing.
The authors analyzed the 38 cases of the tibia plateau fractures treated at the department of Orthopedic Surgery, Seoul Adventist Hospital from 1987 to 1992, to know the relationship between the tupe of fracture, treatment, and the results. The
fallowing results were obtained.
1. The incidence is more frequent in male and fifth decade was the most popular.
2. The most common cause of injury was traffic accident.
3. The most affrected site was left(26 cases) and lateral condyle(26 cases).
4. The most common fracture type acording to the Hohl's classification were undisplaced and communited type of fractures.
5. 14 cases were treated with conservative method and 24 cases were treated with surgical method and 75% of patients which were treated with conservative, 86% of patient which were treated with surgical method, obtained satisfactory result
according to
Brokker's evaluation.
6. The factors of poor results were as fallow: communited fracture in Hohl's or with ligament and meniscal injury.
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