INTRAJOINT OSTEOTOMIES FOR POSTTRAUMATIC DEFORMITIES OF TIBIAL CONDYLAR SURFACES

Abstract

Twenty two patients were operated on account of joint surface deformities developed due to malunion of healed tibial condylar impressions. The peculiarity of operation was the osteotomy line, which contoured the perimeter of impression to mobilize it, and after that the fragments were plated with bone grafting. Early function is essential. We met one deep infection. The late follow-up was generally positive. The intrajoint osteotomies can effectively restore posttraumatic deformities of tibial condylar surface and normalize the anatomy with good function and low pain. This operation optimizes anatomic and functional conditions for probable joint replacement and is able to delay the need in it at least for decade and for thus decrease the problems of revisions.

Keywords

• intraarticular fractures
• knee joint
• osteotomy