الفهرس 
Title : External fixation versus internal fixation for treatment of proximal tibial fractures
AbstractOnly 14 pages are availabe for public view
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Abstract
The aim of surgical treatment of proximal tibia and fibula fractures is to restore and preserve normal knee function. These goals are accomplished by anatomically restoring the articular surfaces of the tibial condyles, maintaining the mechanical axis, restoring ligamentous stability, and preserving a functional pain free range of motion in the knee. Proximal tibial fractures encompass a wide range of injuries. Low energy fractures are amenable to closed treatment or open reduction and internal fixation. High energy proximal tibial fractures frequently pose treatment difficulties because of the extensive soft tissue damage, fracture comminution, instability, and displacement of articular fragments.The more familiar classification for the intra articular proximal tibial fractures proposed by Schatzker et al, in 1979, describing six types of fractures of the tibial plateau; type I: pure cleavage fracture, type II: cleavage fracture combined with depression, type III: pure central depression, type IV: fracture of medial condyle split off as a single wedge or comminuted and depressed, type V: bicondylar fracture and type VI: plateau fracture with dissociation of the tibial metaphysis and diaphysis