Abstract

• The management of fractures of the tibial intercondylar eminence is uncomplicated when the fracture has minimal displacement(Type I) or when only one-third or a half of the eminence is elevated(Type II). However, the treatment of complete separation(Type III) has been controversial.
  Authors reviewed 35 cases in 35 patients of the tibial intercondylar eminence fracture at the Department of Orthopedic Surgery of Hanyang University Hospital from Jan. 1988 to Dec. 1994.
  The results were as follows:
  1) There was a predisposition for male and prevalent age distribution was 2nd to 4th decade.
  2) The most common cause of injury was traffic accident in 22 cases(62.9%).
  3) The most common associated injury was rupture of MCL on the ipsilateral knee in 11 cases (37%).
  4) According to the Meyers and Mckeevers classification, type III was most common in 24 cases(69%), type II was 7 cases(20%) and type I was 4 cases(11%).
  5) The excellent or good result was 82% in conservative treatment group, 83% in screw fixation group and 92% in pull out suture group.
  6) In case of small size and comminution of the fragment, it was difficult to fix the fragment with screw fixation. So, we recommend the method of fixation with pull out suture technique for small or comminuted type III fracture.
• Key words: Fracture, Intercondylar eminence, Tibia

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