KPJ Selangor Specialist Hospital, Selangor, Malaysia
The nexus of intra-articular fractures, osteoarthritis and clinical outcome. Does early surgical intervention with anatomical reduction and stabilization of intra-articular fractures improve clinical outcome?
Author(s): Kuldip Singh Dhillon*
There has been a rapid proliferation, over the last two decades, of the number of products available for osteosynthesis in the treatment of intra-articular fractures. This rapid proliferation is due to a misplaced belief that anatomical reduction and stabilization of intra-articular fractures will reduce the incidence of post-traumatic osteoarthritis (OA) and that post-traumatic OA is invariable associated a poor clinical outcome. The common belief that OA is a degenerative disease caused by wear of the joint has been debunked. Literature review shows that OA is a disease of all components of the joint and not the articular cartilage alone, where innate immunity plays a significant role. Some joints that are injured have potential for repair while other joints do not have this potent.. Read More»