Experience of Surgical Treatment of Tibial Fractures

Abstract

Eleven tibial fractures were treated surgically from January 1989 to December 1991. Three tibial plateau fractures, 7 diaphyseal fractures (1 proximal, 6 distal), and 1 tibial plafond fracture were included in the series. Treatment options included internal fixation with buttress plating in 5, screws or a tibial bolt in 5, and lagscrew with external fixator in one case. Autogenous bone grafting of subchondral or metaphyseal defects was performed in 5 cases. Arthroscopic knee manipulation was required in one tibial plateau fracture at 10 weeks postoperatively. All fractures united between 2.5 and 9 months with a mean of 6 months. The results were graded excellent, adequate, poor according to Kellam's criteria. Nine were excellent and 2 were adequate. We reported an intraoperative view of a step-off less than 5mm which was smoothly covered with fibrous cartilage, the poor prognosis of Type B tibial plafond fractures and its surgical treatment, and the problem of buttress plating and refracture.
Note to Author:
What do you mean by plafond? Please check this word.
I would like to explain this word.
Tibial plafond means distal intraarticular epiphysis of tibia. “Plafond” means something like a dome. The ferminology is used in Bibliography no 4.