Summary
Introduction. Tibia fractures make up approximately 1% of all fractures, with about a third of them being articular fractures. These fractures are typically a result of high kinetic energy trauma. Managing articular fractures presents challenges due to extensive bone and soft tissue damage, increased complication rates, prolonged healing time, and often necessitates surgical intervention to optimize bone healing and restore joint mobility. Complex cases may require reconstructive operations, such as osteoplasty with bone autograft – a surgical procedure that restores bone integrity by transplanting healthy bone to the affected area.
Material and Methods. This article presents a clinical case involving a 26-year-old patient who experienced a severe articular fracture of the proximal tibia due to high- energy trauma. The chosen treatment approach involved bone autotransplantation.
Results. The iliac crest, known for its osteogenic potential, is a suitable bone part for autotransplantation. Successful treatment outcomes depend on the chosen treatment, and factors like the patient’s age, active rehabilitation, and motivation.
Conclusions. The main goals of treatment for articular proximal tibial fractures include anatomical reduction of the articular surface, regaining joint function, and achieving pain-free limb movement. Unstable fractures may require complex reconstructive procedures like total knee arthroplasty or autograft osteoplasty. The patient’s age and the massive articular defect resulting from the injury were factors favoring the use of bone autograft.
