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, does serve an important role in select cases in the…
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 as motor vehicle accidents, pedestrian strikes, or falls from heights.…
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, and operative outcomes of tibial plateau fractures, far less has…
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 structures around the knee has become a secondary objective. Failure…
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 can aid in the determination of definitive treatment for tibial…
Introduction Tibial plateau fractures come in many forms from the senile nursing home patient falling on the way to the bathroom to the young motorcyclist driving into a tractor-trailer. Similarly, external fixators range from simple uniplanar large pin frames to…
Introduction Tibial plateau fractures have been documented in the literature as early as the 1820s, and the mainstay of treatment was nonoperative until the 1950s. Many reports in the 1970s and beyond suggest that open reduction and internal fixation is…
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 in the elderly. These fractures have an annual incidence of…
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 the tibia, femur, and patella. Ligamentous and muscular attachment sites…