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…
Chapter Preview Chapter Synopsis Nonunions and implant failures of the cervical spine indicate a failure to stabilize the spine biomechanically. The most difficult failures to reconstruct are multilevel corpectomy procedures. The assessment and reconstructive methods that are needed are discussed…
Chapter Preview Chapter Synopsis Adjacent level disease is a relatively frequent clinical finding in cervical spine surgery. An overall rate of approximately 3% per year can be expected in patients who have undergone cervical surgical procedures. Whenever possible, nonoperative treatment…
Chapter Preview Chapter Synopsis Wound complications, namely infection and dehiscence, are some of the most common adverse events following spinal surgical procedures. These complications can incur substantial morbidity and financial burden. Risk factor modification and prevention represent a burgeoning paradigm.…
Chapter Preview Chapter Synopsis Dural tear is not uncommon in cervical spine surgery, and the incidence varies depending on the disorder addressed and the procedure performed. Because the potential complications associated with a persistent cerebrospinal fluid (CSF) leak can be…
Chapter Preview Chapter Synopsis The anterior approach to the cervical spine has gained worldwide acceptance by spine surgeons to address a variety of pathologic conditions of the cervical spine. Injuries to the trachea and esophagus are rare, but they can…