Abstract
We evaluated the methods and the results of surgical treatment in nine patients with tibial plateau fractures. The average follow-up period after surgery was 13.2 months (range, six to 27 months). All fractures were treated by anatomical reduction and internal fixation. The resultant metaphyseal bone defects following open reduction of the articular fracture fragments were filled with autogenous bone graft and/or interporous hydroxyapatite in four patients. Two patients had concomitant ACL injuries (avulsion fracture of the tibia), primary repair was performed. Four patients had concomitant lateral meniscal tears, treated by partial meniscectomy in three patients and meniscal suture in one patient. The average duration of cast immobilization after surgery was 3.3 weeks, (range 1-5 weeks). The clinical results were evaluated using the criteria proposed by Hohl and Luck. In the anatomic grade, all patients had excellent results. In the functional grade, there were seven excellent, one good, one fair, and no poor results.
