Journal of Musculoskeletal Trauma

Original Articles

A STUDY OF ANATOMICAL CONFIGURATION OF LATERAL TIBIAL CONDYLE USING MR AXIAL IMAGE: Sung Do Cho, Yong Sun Cho, Bum Soo Kim, Tae Woo Park, So Gu Lew, Su Young Jung; J Korean Soc Fract 2001;14(3):398-403. Published online July 31, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.3.398

Abstract PDF: PURPOSE
To evaluate the anatomical configuration of the lateral tibial condyle using the MR axial images and to present the proper configuration of the head of the buttress plate that fit the lateral tibial condyle of Korean MATERIALS AND METHODS: With 110 MR axial images of the knee joint of male and female, we calculate the ratio of the maximal height of the arc of the l ateral tibial condyle to the length of the line between the end point of the arc of the lateral tibial condyle(the ratio of convexity) and the angle of the peak point of arc of the lateral tibial condyle(the angle of convexity), the absolute value of the difference of the angle of the end point of the arc(the value of symmetry) of that. then we evaluate the head of 3 the buttress plates with same methods and then compare with the result of the lateral tibial condyle.
RESULTS
The ratio and angle of convexity of Korean were average 0.216/49.04(total), 0.203/49.35(male), 0.235/50.36(female), and the value of symmetry were average 5.68(total), 5.76(male), 5.56(female). the ratio and angle of convexity of the head of buttress plate were average 0.177/43.21(EGIRE), 0.114/25(AO), 0.101/23.83(Solco) and the value of the symmetry were 1.643(EGIRE), 0.75(AO), 1.5(Solco). the ratio of convexity was correlated with age, height, and weight but angle of convexity was not correlated with weight.
CONCLUSION
The anatomical configuration of the lateral tibial condyle of Korean did not fit that of the head of the buttress plates and it would be necessary to make a new plate that fit the lateral tibial condyle for Korean.

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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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