Fractures of the Tibial Condyles

Effect of Tibial Plateau Fracture on Lubrication Function and Composition of Synovial Fluid

“…The structure of hyaluronan and proteoglycan-4 in intra-articular fracture conditions may affect their roles in the boundary lubrication of articular cartilage after joint injury. Although proteoglycan-4 levels were higher in the samples of tibial fracture synovial fluid, this elevated concentration may not have e64 (7) been sufficient to compensate for the alterations in lubrication function after joint injury. Concurrently, the structural quality of hyaluronan and proteoglycan-4 may have been compromised during injury, such as having a reduction in the concentration of high molecular weight hyaluronan in the fracture synovial fluid.…”

Incidence, Risk Factors, and Location of Articular Malreductions of the Tibial Plateau

“…18 Lucht and Pilgaard as well as Lansinger deemed functional results to be acceptable if articular depression was less than 10 mm, 19,20 whereas Rasmussen and Blokker both advocated to decrease acceptable reduction criteria to 5 mm of articular step. In the laboratory, it has been shown that articular contact stresses increase up to 75% greater than baseline with a 3-mm step.…”

The Ilizarov external fixator - a useful alternative for the treatment of proximal tibial fractures A prospective observational study of 30 consecutive patients

“…The long-term results reported by Rasmussen [39] and Lansinger et al [66] showed that a residual depression of up to 10 mm could be accepted if the knee was stable. In a 5-year follow-up on 109 fractures, Lucht and Pilgaard [67] reported that the functional outcome with a depression of <10 mm was acceptable. In terms of articular depression the recommended “acceptable” dislocation varies between 2 and 10 mm [68].…”