The optimal management of intra-articular tibial plateau fractures with metaphyseal-diaphyseal dissociation remains challenging and controversial. We report results using the technique of limited open reduction with external fixation using a fine wire circular frame. Between 1994 –2006, 83 eligible patients were identified. Case notes were reviewed; X-Rays and CT scans were examined and used to rank-order the severity of injury. ‘Musculoskeletal Functional Assessment’ (MFA) and ‘Knee Outcome Survey’ (KOS) questionnaires were completed and axial alignment X-Rays were taken to assess functional and radiological outcome.Introduction
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