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Abstract
Twenty-one consecutive patients with fractures of the tibial plateau were investigated
by standard radiography and magnetic resonance imaging (MRI) before treatment. It
was found that MRI was more accurate in determining the classification of the fracture,
in the identification of previously ‘occult’ fracture lines, and in accurate measurement
of displacement and depression of fragments. This resulted in a change in the classification
of 10 fractures (47.6 per cent) and so a change in the management of four patients
(19 per cent). In addition, MRI permits the reliable identification of associated
intra- and periarticular soft tissue injuries pre-operatively for the first time in
this group of injuries, seen to be present in 47.6 per cent of this series. This is
higher than previously reported. No problems were encountered with the imaging technique,
and in view of the significant effect on patient management, the authors now consider
it to be the imaging method of choice.
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Article info
Publication history
Accepted:
June 5,
1995
Identification
Copyright
© 1995 Published by Elsevier Inc.
