الفهرس 
AnatomyOnly 14 pages are availabe for public view
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Abstract
In this study a review of the literatures dealing with fractures of the upper extremity of the tibia has been done. For many years, many authors have been interested in the complex problems presented by injuries to the upper tibial plateau and have already made certain suggestions as to etio~ogical, diagnostic and therapeutic techniques. In order to clarify the biomechanics of tibial plateau fractures together with their frequently asso¬oiating injuries, same hints on the functional and applied anatomy of the region have been mentioned with a special review to the stabilizing structures of the knee. Accurate analysis of the type of the causative trauma, although not always Possible, will offer a good guidence to achieve a proper prediotion of the type of injury so as to recommend the proper necessary investigation to reaoh a reliable diagnosis. Tibial plateau fractures are often aocomperLed by lesions of the bony structures or of the BO::t parts surrounding or torming an integral part ot the articula¬tion. For fractures ot the tibial plateau, many treatment alternatives are available, including soft dressings casts, traction, closed reduction, and open reduction. The decision to utilize one or more of these modalities is based upon a wide variety of considerations, includ~ the patient’s age, general condition, skin condition, associated injuries, type and severity of fractures and the quality of knee function required by the patient. Surgical restoration of the articular surface seemed to be a sensible approach, but the earlier advocates gre~ disillusioned as it became abundantly clear that the added surgical insul~produced inferior functional results in too many instances. A good result prOVides the patient with a strong stable, nearly fully mobile knee with normal or nearly normal alignment. Long term result studies suggest that progress is being made in improving the end results as regards the knee by the utilization of newer techniques in properly selected cases.