Posttraumatic Reconstruction

Jun 26, 2022 by in ORTHOPEDIC Comments Off on Posttraumatic Reconstruction

Introduction As discussed in Chapter 5 , the surgical management of tibial plateau fractures relies primarily on open reduction and internal fixation (ORIF) using various fracture fixation principles. Reconstruction, however,…

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Complications

Jun 26, 2022 by in ORTHOPEDIC Comments Off on Complications

Introduction Tibial plateau fractures occur when a varus or valgus stress is applied to the knee in conjunction with axial loading. Younger individuals sustain this fracture through high-energy mechanisms such…

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Postoperative Care/Rehabilitation

Jun 26, 2022 by in ORTHOPEDIC Comments Off on Postoperative Care/Rehabilitation

Introduction Postoperative care and rehabilitation for tibial plateau fractures remain areas of surgical management with little standardization. While a significant amount of research has focused on diagnosis, classification, surgical techniques,…

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Internal Fixation

Jun 26, 2022 by in ORTHOPEDIC Comments Off on Internal Fixation

Internal Fixation of Tibial Plateau Fractures Fixation constructs depend largely on fracture patterns and on patient factors such as associated injuries and functional status. Classification systems discussed in Chapter 2…

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Treatment of Associated Soft-Tissue Injuries

Jun 26, 2022 by in ORTHOPEDIC Comments Off on Treatment of Associated Soft-Tissue Injuries

Introduction Historically, restoring the bony architecture in tibial plateau fractures has been the focus of surgical management. While this remains the primary objective in treatment algorithms, management of the soft-tissue…

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Mechanism, Evaluation, and Temporary Fixation

Jun 26, 2022 by in ORTHOPEDIC Comments Off on Mechanism, Evaluation, and Temporary Fixation

Introduction Demographics Fractures involving the tibial articular surface account for a little over 1% of all long bone fractures, 56.9% of all proximal tibia fractures/dislocations, and 8% of all fractures…

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Anatomy and Surgical Approaches

Jun 26, 2022 by in ORTHOPEDIC Comments Off on Anatomy and Surgical Approaches

Introduction The anatomy of the proximal tibia involves a complex interaction between bone, ligaments and their attachment sites, cartilage, and muscles. The knee is an intricate hinge joint consisting of…

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