Current concepts in tibial plateau fractures

Thomas, C. H., Athanasiov, A., Wullschleger, M. and Schuetz, M. (2009) Current concepts in tibial plateau fractures. Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca, 76 5: 363-373.

Author Thomas, C. H.
Athanasiov, A.
Wullschleger, M.
Schuetz, M.
Title Current concepts in tibial plateau fractures
Journal name Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca   Check publisher's open access policy
ISSN 0001-5415
Publication date 2009-10-01
Sub-type Article (original research)
Volume 76
Issue 5
Start page 363
End page 373
Total pages 11
Place of publication Prague, Czech Republic
Publisher Galen
Language eng
Formatted abstract
Tibial plateau fractures can range from a simple lateral split pattern to very complex bicondylar injuries that can be a source of great disability. these fractures can provide a challenge for both junior as well as for senior surgeons alike. careful evaluation of the mechanism of injury and fracture pattern plays a crucial part in the operative planning. Assessment of the soft tissues shoul be performed carefully and adequate imaging is mandatory to allow a more detailed evaluation of the fracture architecture and pre-operativeplanning. Timely accurate reduction and fixation is the goal. Over the last decade the surgical approach chosen has been largely determined by the fracture pattern. Internal plate osteosynthesis through antero-lateral and postero-medial incisions is the most commonly utilised technique for complex bi-condylar fractures. An early range of motion with special attention to full knee extension is essential for a successful functional outcome. Application of the principles mentioned is a pre-requisite to achieve the best result. New fixation techniques, such as locking plates, have not changed those principles but helped to apply them more reliably.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: ERA 2012 Admin Only
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Created: Wed, 02 Nov 2011, 04:01:06 EST by Martin Wullschleger on behalf of Surgery - Royal Brisbane and Women's Hospital