Hohl and Luck used anatomic and functional criteria to evaluate the outcome of a patient following a fracture of the tibial condyle. The authors are from Los Angeles County Hospital and the University of Southern California.
Outcomes:
(1) excellent
(2) good
(3) fair
(4) poor
Different outcomes:
(1) anatomic
(2) functional
Parameters for anatomic grading:
(1) valgus deformity
(2) displacement (fracture reduction)
(3) degenerative joint changes
|
Anatomic |
excellent |
good |
fair |
poor |
|
valgus deformity |
normal, within 5 degrees |
6 - 10 degrees |
> 10 degrees |
> 10 degrees |
|
reduction |
within 3 mm |
|
failure |
failure |
|
degenerative joint changes |
none |
minimal |
moderate |
moderate or severe |
|
|
all present |
not more than 1 finding |
not more than 2 findings |
all present |
Parameters for functional grading:
(1) knee extension
(2) range of motion
(3) strength and endurance
(4) aches and pains
(5) lateral mobility
|
Anatomic |
excellent |
good |
fair |
poor |
|
knee extension |
full |
unable to extend beyond 170 degrees |
unable to extend beyond 170 degrees |
|
|
range of motion |
>= 120 degrees |
90 degrees (90 to 119) |
75 degrees (75 to 89) |
no useful motion; < 75 degrees |
|
strength and endurance |
normal |
weakness or easy fatigability |
|
unable to work |
|
aches and pains |
none or occasional ache |
mild aching every day |
discomfort with ordinary activities |
pain in all activities |
|
lateral mobility |
normal |
excessive |
excessive |
excessive |
|
|
all present |
not more than 1 finding |
not more than 2 findings |
>= 3 present |
Specialty: Surgery, orthopedic
