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Management of tibial plateau fractures: diagnostics, classification and treatment

Published in N°006 - July / August 2020
Article viewed 334 times

Management of tibial plateau fractures: diagnostics, classification and treatment

By Julian Ross(1), Karl-Heinz Frosh(II) in category UPDATE
(I) - Altona Children’s Hospital Hamburg (II) - University Medical Center Hamburg-Eppendorf

Approximately 1-2 % of all bony injuries are represented by tibial plateau fractures. Its complexity and associated soft tissue injuries can be a challenge for surgical skills. An anatomic reduction and stable fixation are of crucial importance in order to achieve rapid mobilization, improved rehabilitation and to minimize posttraumatic osteoarthritis.

Introduction

Approximately 1-2 % of all bony injuries are represented by tibial plateau fractures. Its complexity and associated soft tissue injuries can be a challenge for surgical skills. An anatomic reduction and stable fixation are of crucial importance in order to achieve rapid mobilization, improved rehabilitation and to minimize posttraumatic osteoarthritis. Severe concomitant injuries require a standardized diagnostic algorithm. The academic literature does not give a unique classification system. The 10-segment classification offers information of the localized damaged area having huge implications for the choice of surgical approach and application of osteosynthesis material. Depending on the severity of injury, the therapy ranges from minimally invasive surgery, plate osteosynthesis up to primary endoprosthesis, especially in elderly patients. Although new techniques showed good to excellent results, tibial plateau fractures are still accompanied by high rates of complications.

This article brings together our findings and provides the specific approaches of our center including details of imaging, classification, therapeutic algorithm with focus on specific surgical techniques.

 

Demographic data

Approximately 1-2% of all bony injuries are represented by tibial...

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