Proximal tibial fractures frequently present in combination with other injuries which also have to be treated surgically. Recent publications do not consider isolated proximal tibial fracture (mono-injury) and combined injuries which include tibial fractures as two seperate medical entities. We therefore asessed the influence of additional injuries on treatment and outcome of the proximal tibial fractures. We admitted 84 patients which were consecutively treated in our department from 01.01.2007 to 31.12.2009. Only C1 to C3 fractures (x-ray, ct-scan), according to AO classification with subsequent open reduction and internal plate osteosynthesis were included. Additionally we looked for additional injuries cause by the accident, numbers of operations and strategie of operative treatement, traumaspecific vs. postsurgical complications and inpatient days. At the follow-up investigations one year post surgery, Lysholm- and WOMAC-Score as well as Tegner-Activity-Index were used.Introduction
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