Overview With calipered kinematic alignment (KA) technique, preoperative management and evaluation of the arthritic knee patient does not vary vastly from the standard evaluation. However, there are some subtle differences that can aid the surgeon in planning and discussing the…
Overview This chapter discusses the research that is driving the change in philosophy from mechanical alignment (MA) to kinematic alignment (KA) in total knee arthroplasty (TKA). The first section discusses the association between MA and patient dissatisfaction after TKA, and…
Overview For a long time, the alignment goal for total knee arthroplasty (TKA) was a neutrally aligned limb with orthogonal joint lines to the mechanical axes (mechanical alignment [MA]). This had mainly to do with the belief of a better…
You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
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…