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This is a medial tibial plateau fracture with a split or depressed component. It is usually the result of a high energy injury and involves a varus force with axial loading at the knee. Represent 10% of all tibial plateau fractures. There is high risk of damage to the popliteal artery and peroneal nerve and therefore carry a worse prognosis.
A Taylor Spatial Frame on the left leg consisting of metal rings, pins and struts. The Taylor Spatial Frame (TSF) is an external fixator used by podiatric and orthopaedic surgeons to treat complex fractures [1] and bone deformities. The medical device shares a number of components and features of the Ilizarov apparatus.
Fracture blisters pop up in trauma patients, but are relatively rare and only occur in 2.9% of patients with a fracture requiring hospitalization. [3] A fracture blister typically occurs near fractures where the skin has little subcutaneous tissue between it and bone. These include elbows, knees, ankles, and wrists.
Originally described by Dr. Paul Segond in 1879 [6] [7] after a series of cadaveric experiments, the Segond fracture occurs in association with tears of the anterior cruciate ligament (ACL) (75–100%) and injury to the medial meniscus (66–75%), lateral capsular ligament (now known as the Anterolateral ligament, or ALL), as well as injury to the structures behind the knee.
Lesions in the tibial plateau, hip, ankle, and wrist are often missed. In a tibial plateau fracture, any disruption of the posterior and anterior cortical rims of the plateau should be sought. Impaction of subchondral bone will appear as an increased sclerosis of the subchondral bone (Figure 1).
[9] [4] One tibial section attaches to soft tissue, 1 cm distal to the joint line. The other tibial section attaches directly to the tibia, anterior to the posteromedial tibial crest, 6 cm distal to the joint line. [2] [9] This distal attachment is the stronger of the two and makes up the floor of the pes anserine bursa.
The patella plays no significant role in the posterolateral corner. The bony shape of the posterolateral knee, with the two convex opposing surfaces of the lateral femoral condyle and the lateral tibial plateau, makes this portion of the knee inherently unstable compared to the medial aspect. Thus, it has a much higher risk of not healing ...
One meniscus rests on the medial tibial plateau; this is the medial meniscus. The other meniscus rests on the lateral tibial plateau; this is the lateral meniscus. [3] [4] The menisci are nourished by small blood vessels but have a large area in the center with no direct blood supply (avascular).