surgically for tibial plateau fracture at a Level 1 trauma unit for a three-year period from 1993 to 1995. 2Faculty of Medicine and Tibial plateau fractures result from high energy, blunt force trauma and are associated with severe bone and soft-tissue injury. Hua K, Jiang X, Zha Y, Chen C, Zhang B, Mao Y. J Orthop Surg Res. 2006 Dec;88(12):2613-23. doi: 10.2106/JBJS.E.01416. Read More, Copyright ©2004 Lippincott Williams & Wilkins, Lateral Tibial Plateau Fracture: Open Reduction and Internal Fixation, Tibial plateau fractures result from indirect coronal, The tibial plateau is composed of medial and lateral articular surfaces (, The most widely accepted classification has been that proposed by Schatzker (, Controversy exists regarding the specific indications, Initial radiographs should include an anteroposterior, a lateral, and two oblique views and the 15-degree caudal plateau view (, Comparison radiographs of the contralateral extremity, The exact nature of the fracture should be understood before attempting any form of surgical intervention (, Several basic instruments are necessary for open reduction and internal fixation of a tibial plateau fracture (, Large- and small-diameter cannulated screws, Femoral distractor with or without an external fixator set, PATIENT POSITIONING AND FRACTURE REDUCTION, Patients should be positioned supine with a bolster, Fracture reduction can be aided by the use of, After the level of the capsule has been reached, an arthrotomy is performed. We included randomised and quasi-randomised controlled clinical trials comparing surgical interventions for treating tibial plateau fractures and the different types of filler for filling bone defects. doi: 10.1002/14651858.CD000434.pub4. (Fig. J Bone Joint Surg Am. Unusual Good Functional Outcome After Surgical Management of Maluniting Schatzker Type II Fracture. The incidence of tibial plateau fractures is 10.3 per 100,000 annually; they are often connected to motor vehicle accidents. The trial provided no evidence of differences in HSS knee scores, complications or reoperation entailing implant removal or revision fixation. Three trials evaluated different types of fixation and three analysed different types of bone graft substitutes. Orthopedic management of tibial plateau fractures varies from conservative non-operative treatment to open reduction and internal fixation (ORIF). Fixation is performed with cannulated screws (Arthrex) being drilled in over the K-wires and then tightened by hand (Fig 4). Fractures of the tibial plateau, which are intra-articular injuries of the knee joint, are often difficult to treat and have a high complication rate, including early-onset osteoarthritis. Aug 28, 2020 - Explore Heather Newman's board "Tibial plateau fracture", followed by 157 people on Pinterest. 2018 Mar;32(3):141-147. doi: 10.1097/BOT.0000000000001042. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. Injuries to other structures about the knee are commonly associated with tibial plateau fractures. If the wound cannot be closed without tension, it is. Patients and SettingForty-two consecutive patients treated surgically at our trauma unit for tibial plateau fractures were studied retrospectively, specifically for loss of fixation. Various methods of percutaneous fixation of tibial plateau fractures are available. Surgery requires putting the bones back together with what are known in the medical trade as “Fixation techniques.” These require considerable surgical skill and experience. A. Outpatient Management. Therefore, a careful J Bone Joint Surg Br 1981; 63B(4): 575 – 578. The incidences of individual complications were similar between groups in all three trials. The Global Burden of Surgical Management of Osteoporotic Fractures. J Orthop Trauma. The tibial plateau fracture and the tibial pilon fracture require accurate open reduction and fixation. Two weeks following external fixation, examination reveals intact sensation, palpable pulses … Open reduction and internal fixation compared with circular fixator application for bicondylar tibial plateau fractures. Immediate internal fixation of open, complex tibial plateau fractures: treatment by a standard protocol. Tibial plateau fractures: internal fixation with locking plates and the MIPO technique. Schatzker 3 fractures of the lateral tibial plateau, in which Key words: Fracture; Tibia plateau; Internal fixation; Bone graft 1. World J Surg. Currently there is … TECHNIQUE STEPS. Objectives: Tibial plateau fractures may result in significant limitations postoperatively. Authors' conclusions: Hence, fractures of the tibial plateau are often associated with injuries to the anterior cr… We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register (12 September 2014), the Cochrane Central Register of Controlled Trials (2014 Issue 8), MEDLINE (1946 to September Week 1 2014), EMBASE (1974 to 2014 Week 36), trial registries (4 July 2014), conference proceedings and grey literature (4 July 2014). Tibial plateau fractures with a significant open component and contamination will commonly be treated with external fixation for stabilization with … REVISTA ARGENTINA 2020, Vol. Fixation of bicondylar tibial plateau fractures via a single anterior mid-line incision is now generally avoided owing to extensive soft tissue dissection required and the consequential wound problems associated with this approach. 2019 Jun 14;11(6):e4902. Cochrane Database Syst Rev.