Author(s): Redi TP, Allgwer M
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Abstract Intra-articular fractures of the lower end of the tibia are an interesting challenge. The best functional results in the past series were observed in patients treated according to the following 4 sequential principles: (1) reconstruction of the correct length of the fibula; (2) anatomical reconstruction of the articular surface of the tibia; (3) insertion of a cancellous autograft to fill gaps left by impaction and comminution; (4) stable internal fixation of the fragments by a plate placed on the medial aspect of the tibia. Seventy-five cases had a good or excellent late result (on average 6 years postoperatively) in 70\% as compared to 43\% to 55\% in cases treated by closed and/or open methods.
This article was published in Clin Orthop Relat Res
and referenced in Orthopedic & Muscular System: Current Research