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Current Treatment and Outcomes of Intra-articular Fractures

  • Chapter
Post-Traumatic Arthritis

Abstract

Assumptions abound about the outcome of intra-articular fractures and the likelihood of post-traumatic arthrosis (PTA). Modern fracture care has not extinguished PTA after articular fracture. Residual articular step-off and the quality of the fracture reduction appear to be important for the outcome of some, but not all, articular fractures. Non-articular step-off variables and factors also have an effect on clinical outcomes after intra-articular fractures and the development of PTA. In this chapter, we will discuss important variables and factors that contribute to the clinical outcome of three articular fractures: acetabulum, tibial plateau, and distal radius.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, University of Louisville, 550 S. Jackson Street, 1st Floor, ACB, Louisville, KY, 40202, USA

    Brandi R. Hartley M.D. & Craig S. Roberts M.D., M.B.A.

  2. Academic Department of Trauma & Orthopedic Surgery, Leeds General Infirmary University Hospital, Floor A, Clarendon Wing, LGI Great George Street, Leeds, Yorkshire, UK

    Peter V. Giannoudis B.Sc., M.B., M.D., F.R.C.S.

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  1. Brandi R. Hartley M.D.
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  2. Craig S. Roberts M.D., M.B.A.
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  3. Peter V. Giannoudis B.Sc., M.B., M.D., F.R.C.S.
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Correspondence to Craig S. Roberts M.D., M.B.A. .

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Editors and Affiliations

  1. Professor, Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina, USA

    Steven A. Olson, MD

  2. Laszlo Ormandy Professor, Department of Orthopedic Surgery, Duke University Medical Center, Durham, North Carolina, USA

    Farshid Guilak, PhD

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Hartley, B.R., Roberts, C.S., Giannoudis, P.V. (2015). Current Treatment and Outcomes of Intra-articular Fractures. In: Olson, MD, S., Guilak, PhD, F. (eds) Post-Traumatic Arthritis. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-7606-2_21

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