Fractures of the Condyle of the Tibia Complicated by Subluxation or Dislocation of the Crus
V. V. Mikhailenko , V. M. Lirtsman , S. K. Antipin
N.N. Priorov Journal of Traumatology and Orthopedics ›› 1996, Vol. 3 ›› Issue (3) : 47 -50.
Fractures of the Condyle of the Tibia Complicated by Subluxation or Dislocation of the Crus
Twenty seven patients (9 men and 18 women, aged 16-87 years) with the fractures of the condyle of the tibia complicated by subluxation or dislocation of the crus were observed. The authors believe that the most effective treatment method for such injuries is the reposition with apparatuses on the orthopaedic table and simultaneous fixation of the fragments by specialscrew that allows to eliminate subluxation or dislocation of the crus and to perform compression osteosynthesis with firm fixation of the fragments. In severe displacement of the condyle with its angular rotation, disturbance of spongy bone and crus dislocation, open reposition of the fragments and elimination of crus dislocation with the plasty of spongy bone defect using the autografts from the upper flaring portion of te ilium or biocompatible porous ceramics with the fixation of fragments by a screw is indicated. Permanent skeletal traction is much less effective than the surgical methods of treatment.
tibia / fracture / knee joint / subluxation / dislocation / fracture repositioning
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