Tibia and fibula, proximal
Classification
The Müller AO Classification 462
Introduction
19.1 Tibia and fibula, proximal—introduction Jong-Keon Oh 463
1 Introduction 463
1.1 Incidence 463
1.2 Current methods of treatment 464
1.3 Indications and role of temporary bridging external fixation 464
1.4 Indications and contraindications for MIPO 464
2 Surgical anatomy 470
3 Operating room setup 471
3.1 Anesthesia 471
3.2 Patient and image intensifier positioning 471
3.3 Implants and instruments 471
4 Preoperative assessment 472
4.1 Preoperative physical examination and assessment 472
4.2 Preoperative planning 473
5 Operative procedure 474
5.1 Surgical approach 474
5.2 Reduction and fixation 474
6 Postoperative care and rehabilitation 480
7 Pitfalls 481
8 Pearls 481
9 References 481
10 Further reading 481
Cases
19.2 Tibia and fibula, proximal: metaphyseal simple fracture—41-A2 Jong-Keon Oh 483
19.3 Tibia and fibula, proximal: intraarticular bicondylar fracture with a nonimpacted, metaphyseal component—41-C3 with diaphyseal involvement Jong-Keon Oh 491
19.4 Tibia and fibula, proximal: intraarticular bicondylar fracture, no metadiaphyseal involvement—41-C3 Jong-Keon Oh 501
Classification
A proper understanding of the pathoanatomy of fractures of the proximal tibia is essential to carry out the appropriate treatment procedures.
The AO Müller Classification distinguishes between extraarticular (type A), partial articular or unicondylar (type B), and complete articular or bicondylar (type C) fractures.