Tibial Plateau Frx: Surgical Approaches and Theory
- Lateral plateau: Incision:
- Medial Plateau: Incision:
- Tibial Osteotomy:
- osteotominizing tibial tubercle to incr exposure can lead to difficulty in certain frx, because tubercle may be only component of a
Bicondylar Fracture left intact;
- Elevation of Fracture Frag:
- elevation of frx frag is extremely important part of procedure;
- the elevation must be done enmasse;
- the fracture tends to compact the 7.htm">Cancellous Bone around these fragmets and make them a solid unit;
- keeping this compacted Cancellous Bone together w/ articular surface is very important;
- graft of cancellous Bone wedged underneath elevated fragment will maintain the elevation during the rest of the reduction;
- Ligament Injury:
- once anatomic reduction & rigid IF are secured, knee is clinically & radiographically examined for collateral ligament instability.
- completely avulsed ligament should be repaired.
Original Text by Clifford R. Wheeless, III, MD.
Last updated by Data Trace Staff on Friday, September 9, 2011 2:40 pm