Journal of Musculoskeletal Trauma

Prevalence of Meniscus Tear in Tibial Plateau Fractures: Jung Man Kim, Dong Yup Lee, Young Joon Yang; J Korean Fract Soc 2006;19(3):319-321. Published online July 31, 2006; DOI: https://doi.org/10.12671/jkfs.2006.19.3.319

Abstract: PURPOSE
To evaluate the pattern of meniscal tear according to the type of the tibial plateau fracture of Schatzker.
MATERIALS AND METHODS
Sixty two cases of tibial condyle fracture treated between the period of 1994 and 2003 were evaluated. The fracture type was classified according to Schatzker. The pattern and extent of the meniscus tear were compared with the fracture classification. Statistical analysis was made with the Fisher's exact test.
RESULTS
Meniscus tear was noted in 29 cases out of 62 fractures (46.8%). The twenty cases of minimally displaced fractures treated conservatively showed no meniscal tear. Of 18 cases of the most common type I fracture 2 (11.2%) had a meniscus tear. Of 16 type II fractures 12 (75%) had a meniscus tear. The type III fracture showed the highest prevalence of meniscus tear (76.9%, 10/13). There was statistically significant relationtionship between the type of fractures and the rate of meniscus tear (p<0.0001).
CONCLUSION
The meniscus tear frequently occurred in tibial plateau fractures in Schatzker type II and III. Associated meniscus tears should be born in mind when those types of fracture are encountered.

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Surgical Treatment for Tibial Condyle Fracture of the Proximal Tibia: Won Tae Choi, Bo Yel Choi, Chul Hyung Lee, Eui Soon Kim, Jeong Woung Lee, Doo Hoon Sun, Myung Sang Moon; J Korean Soc Fract 2001;14(2):291-297. Published online April 30, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.2.291

Abstract PDF: PURPOSE
To evaluate the results of operative treatment for tibial condyle fracture of the proximal tibia. MATERIAL AND METHODS: From March 1995 to June 1999, 15 patients with more than one year follow-up periods were treated by operative method at Sun General Hospital. 10 of them were treated by open reduction and internal fixation(plate & screw for 8, screw & K-wire for 2) and 5 of them by closed reduction and Ilizarov fixation. Preoperative prognostic factors were considered as the fracture type of Schatzker classification, associated injury, and closed or open fracture. Functional outcome was evaluated results by Blokker`s criteria.
RESULTS
According to Schatzker classification, type III were 4 cases, type IV were 6 cases, and type V were 5 cases. At last follow up, average range of motion was 115degrees (Internal fixation was 110degrees, External fixation was 130degrees) The results was according to Blokker`s criteria, 11 cases(73%) had satisfactory acceptable results, among 4 cases(27%) of non-acceptable criteria.
CONCLUSION
For treatment of tibia condyle complicated communited fracture, we are able to consider that rigid internal fixation with anatomical reduction and external fixation for early range of motion.

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Arthroscopically-assisted Reduction and Fixation for the Lateral Tibial Condyle Fractures: Jeong Hwan Oh, Seon Nam Kim; J Korean Soc Fract 1999;12(3):614-621. Published online July 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.3.614

Abstract PDF: PURPOSE
Retrospective study was performed about arthroscopically-assisted reduction and internal fixation for the lateral tibial condyle fractures to evaluate the usefulness of arthroscopy. MATERIAL AND METHODS: From January 1993 through December 1996, 36 patients with tibial plateau fractures were evaluated. After reviewing the records and radiologic studies, 22 patients were included in the study based on fracture patterns. Average follow up were 26 months, with a range of 12 to 45 months. Among the 22 cases, 16(72.7%) were male and 6 (27.3%) were female. Fourteen(72.6%) were caused by traffic accident(9 pedestrians, 5 passengers) and 7 were fall from a height. According to Schatzker classification, 9 cases (40.1%) were classified as cleavage with depression(type II), 5 cases(22.4%) of pure central depression(type III) and 8 cases(36.5%) of pure cleavage(type I). There were 24 cases of associated injuries in 16 patients, among which lateral meniscus tears was most common (37.5%). We used Porters criteria for the clinical evaluation and Blotters criteria.
RESULTS
By Porters criteria for the clinical evaluation, acceptable results were obtained in 20 cases (90.9%) in symptom, 21 cases(95.5%) in functional aspect and 22 cases(100%) in appearance and radiologic appearance. By Blotters criteria, satisfactory results were in 20 cases (90.9%).
CONCLUSION
Arthroscopically-assisted reduction and internal fixation should be considered one of the treatment of choice in selected tibial plateau fractures from many advantages.

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Treatment of the Tibial Condyle Fracture: Sung Ho Han, Bo Gyu Yang, Chi Hong Kim, Tae Won Ahn, Sun Tae Jeong; J Korean Soc Fract 1998;11(1):214-225. Published online January 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.1.214

Abstract PDF

A fracture of the tibial condyle is an intra-articular fracture of a major weight bearing joint and loss of function result in high percentage disability of the extremity. The goal of tibial condyle fracture management is a stable, well-aligned, congruent joint, with a painless range of motion and function. The management of tibial condyle fractures remains controversal. Many authors have stated that anatomical restoration of the articular surface and stable internal fixation are essential for these goals to be attained, but good results have also been reported after the conservative treatment. So the method of treatment has to be selected in each individual cases. We evaluated the 35 tibial plateau fractures, 17 treated by conservative method and 18 treated by surgery, at an average follow up of 17 months. The results were obtained as follows; 1. The most common cause of injury was motor vehicle accident in 25 cases(71.5%). 2. According to Schatzker classification, the most common type was typeII in 12 3. Associated soft tissue injuries were in 19 cases(54.3%). Among these, meniscal injuries were most common(in 13 cases). 4. According to Hohl and Luck criteria, the clinical results were acceptable in 11 to 17 cases (64.7%) after non-operative methods and 14 of 18 cases(78%) after operative methods.

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Evaluation of the Patterns of Fractures and the Soft Tissue Injury Using MRI in Tibial Plateau Fractures
Ji-Yong Chun, Hee-Gon Park, Sung-Su Hwang
Journal of the Korean Fracture Society.2007; 20(4): 302. CrossRef

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