The Journal of Bone and Joint Surgery, Vol 68, Issue 4 543-551, Copyright © 1986 by Journal of Bone and Joint Surgery, Inc
Fractures of the tibial plafond
DN Ovadia and RK Beals
The cases of one hundred and forty-two patients with 145 fractures of the
ankle joint that involved the tibial plafond were reviewed. The fractures
were classified into five types according to the severity of the injury.
The methods of treatment were divided into two groups: open reduction and
rigid internal fixation by the AO technique, and other methods. The most
important variables that affected the final clinical result were the type
of fracture, the method of treatment, and the quality of the reduction (p
less than or equal to 0.05). The best results were obtained by rigid open
reduction and internal fixation, with which 65 per cent of the more severe
type-III, IV, and V fractures obtained a good or excellent result.