CONCLUSION
Intra Articular Injuries Demand

A great deal of understanding of the anatomy of the injured bone and the joint it forms, the mechanics of the injury and the biology of fracture healing.

Greater surgical skills since nothing but 100% anatomical reconstruction is acceptable.

Excellent post operative treatment to get desired end result.

Factors Affecting the Results

Even after an excellent surgical reconstruction and post operative care, the result will depend on many factors not under the control of the surgeon namely,

  • Injury to the articular cartilage.
  • Avascularity of the fragments,
  • Post traumatic stiffness due to capsular injury or heterotrophic ossification.
Methods to Improve Results

Nevertheless, with availability of modern imaging facilities, improved surgical techniques in the form of minimally invasive surgery using image intensifier, arthroscope and specialised implants, use of CPM for post operative mobilisation, results in intra articular fractures are excellent.