Usual treatment (s) of fracture involving aicular surface is/are
A i.e. Ahrodesis; B i.e. Excision; C i.e. Skeletal traction Principles - Immobilization (prolonged) of intraaicular fractures result in joint stiffness; which is much greater if is treated by open reduction & internal fixation. - Depressed aicular fragments, which do not reduce as a result of closed manipulation & traction, are impacted & will not reduce by close means. - Major aicular depression & fragment displacements do not fill with fibrocailage and so the resulting instability is permanent. - Anatomical reduction and stable fixation of aicular fragments is necessary to restore joint congruity - Immediate motion is necessary to prevent joint stiffness and to ensure aicuar healing & recovery. This stable internal fixation. - Lambotte's priciples of surgical treatment of fractures include: anatomical reduction of fracture fragments stable internal fixation, preservation of blood supply and active pain free mobilization of adjacent muscle & joints.
Ahrodesis
Excision
Skeletal traction
All of the above