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오인석,김기욱,조규정,고석면,김명구,김려섭 대한슬관절학회 1999 대한슬관절학회지 Vol.11 No.1
Purpose: Recently, there are many good reports on the arthroscopic management of tibial condylar fractures. But, it may be appropriate for selected tibial condylar fractures and also needs a skilled technique. So we report the results of the tibial condylar fractures treated by the arthroscopy and limited percutaneous fixation or the arthroscopic-assisted management with conventional internal fixation without arthrotomy. Materials and Methods: From June 1996 to December 1997, we treated 22 cases of the tibial condylar fractures including relatively comminuted one and analysed the results of patients who have been observed at least 1 year with Porter's knee evaluation criteria. Results: In 18 out of 22 cases, the results were $quot;Acceptable$quot; on symptoms(excellent 3, good 15, fair 4), in 18, on function(excellent 10, good 8, fair 3), in 21, on appearance(excellent 12, good 9, fair 1) and in 20, on radiographic appearance(excellent 11, good 9, fair 2). Overall results were $quot;Acceptable$quot; in 18 cases(82%) and $quot;Unacceptable$quot; in 4 cases(18%). Conclusion: The arthroscopic-assisted management with conventional internal fixation without arthrotomy can be the recommendable treatment for the tibial condylar fractures, including relatively comminuted one, without complications.