Distant results of functional treatment of patients with fractures of the proximal end of the tibia

Grzegorz Trojan
ID
Aleksander Panek
Grzegorz Magoń
Wojciech Dziuba
Ars Medica, Łańcut, Polska
Z Oddziału Chirurgii z Pododdziałem Ortopedycznym – ZOZ Łańcut
Z Oddziału Rehabilitacji, Szpitala Powiatowego w Łańcucie
Z Oddziału Chirurgii z Pododdziałem Ortopedycznym Szpitala Powiatowego w Łańcucie

Abstract

Intraarticular fractures of the proximal end of the tibia still pose a serious problem with treatment and improvement. A choice of treatment is dependent on the type of fracture, degree of stability as well as accompanying damage to soft tissue. The treatment consists in anatomical setting and regeneration of the joint surface and early rehabilitation. Aim of this study: The aim of this study is functional assessment of the lower limb after intraarticular fracture of the proximal end of the tibia of patients undergoing treatment with the use of the functional method. Materials and methods: The subject of the study were 16 patients (9 women, 7 men) aged 28–69 (x=46) undergoing treatment with the use of the functional treatment in a surgical ward with an orthopedic sub-ward at a regional hospital in Lancut in the years 2004–2008. The patients had fractures to the proximal base of the tibia. The time since the fracture was 13–52 weeks (x=32). The LEFS scale was used to assess the functional state. Results: 10 patients (62,6%) assessed the functional state of their limb as good whereas 6 patients (37,4%) assessed the state as satisfactory. Conclusions: Treatment with the use of the functional method brings good or satisfactory results and is advisable for patients whose treatment may fail to setting and anatomical osteosynthesis.

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