Internal fixation and bone grafting for intraarticular nonunion of tibial plateau： a report of four cases  

作　　者：Ramesh K Sen Ashwani Soni Uttam Chand Saini Daljit Singh 

机构地区：[1]Department of Orthopedics, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India

出　　处：《Chinese Journal of Traumatology》2011年第6期371-375,共5页中华创伤杂志（英文版）

摘　　要：Intraarticular nonunion of tibial plateau is rare. In the literature, only 9 patients were found to be treated for intraarticular tibial plateau nonunion and they got varying results. Internal fixation along with bone grafting was done as a standard treatment in all cases. We treated 4 different profile cases of intraarticular tibial plateau nonunion in our institution by 4 different methods. We treated these cases with plaster of paris cast, internal fixation along with bone graft, arthrodesis with K-nail and total knee replacement. Case 1 was treated with plaster of paris （POP） cast as the patient refused surgery. The fracture was united and the patient was fully satisfied with full range of motion despite valgus malalignment. Case 2 was managed with open reduction internal fixation along with bone grafting. Thepatient had a good union and got full range of motion at the knee joint. Case 3 was treated with total knee arthroplasty due to her old age and got satisfactory result. Case 4 was an infected nonunion. Arthrodesis was done and the patient could walk with full weight bearing independently. We conclude that internal fixation along with bone grafting may not be suitable in all cases of intraarticular nonunion of tibial plateau. Causes of nonunion, present condition and range of motion of the knee joint, as well as the age of patient should be all considered and the treatment should be individualised according to each patient＇s situation.

关 键 词：Intra-articular fractures ARTHRODESIS Fracture fixation  internal 

分 类 号：S858.292[农业科学—临床兽医学] TH781[农业科学—兽医学]