The analysis of treatment results in patients with fractures of tibial condyles

Abstract

168 patients with fractures of tibial condyles are included in the study. Conservative treatment was performed in 64 patients. For surgical treatment used in 104 cases two techniques were used: extrafocal osteosynthesis with the Ilizarov fixator (42 patients) and internal fixation with support plate or without it (the remaining cases). The study excluded the use of bone plate (bone grafting). Long-term results were analyzed in 108 cases including 37 patients after conservative treatment and 71 patients after surgical one. In the immediate rehabilitation period the loss of reposition correction caused by impression changes was observed in 56,5 % cases. As a result valgus or varus deformity of limb axis developed. The results obtained emphasize the necessity bone grafting for treatment of these fractures.