After a previous series [1] established good results for the reconstruction of normal anatomy with stable fixation for intraarticular fractures of the lower end of the tibia by one surgeon in a more rural setting, the authors examined a series of patients treated at a university hospital by residents. Results were positive, with good or excellent outcomes in 70% of patients, but not as good as the previous series. Several factors may be taken into account for this disparity in results: patients were older by a mean 10 years, injuries were due to road or working accidents rather than principally skiing injuries, and the quality of surgery / capability of the surgeon may be a factor as well. However, by following the four sequential principles listed below, results of these difficult fractures can still be rewarding.
No takes yet. Share an insight, caveat, or question.
Rüedi et al. (2011) studied this question.