Purpose
The fractures of the tibial plafond, although not a very common trauma pathology, are difficult to treat and, if not managed appropriately, can lead to serious complications and long-term sequelae. The majority of tibial plafond fractures are a result of high-energy trauma, such as motor vehicle accidents or falls from height, thus being frequently associated with life-threatening injuries. The patient with tibial plafond fracture must be thoroughly assessed, generally and locally, and the treatment must be individualized accordingly.
Patients and methods
In this retrospective study, we reviewed patients with tibial plafond fractures treated surgically in our clinic between July 2008 and July 2010 with available follow-up data. We designed this study to assess the status of our patients operated with internal, external, or combined procedures. The clinical results were assessed using the Iowa Ankle Score and the SF-12 score.
Results
Choosing the appropriate procedure, the timing of the surgical intervention and the soft tissue condition are the most important factors that influence the results of the intervention.
Conclusion
Midterm results of this study are encouraging and the long-term will probably show the good results of the correct therapeutic attitude.