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This is a pure compression fracture of the lateral or central tibial plateau in which the articular surface of the tibial plateau is depressed and driven into the lateral tibial metaphysis by axial forces.3 A low energy injury, these fractures are more frequent in the 4th and 5th decades of life and individuals with osteoporotic changes in bone.
External fixation via TSFs tends to be less invasive than internal fixation and therefore has lower risks of infection associated with it. This is particularly relevant for open fractures . For open comminuted fractures of the tibial plateau the use of circular frames (like TSF) has markedly reduced infection rates.
Rehabilitation protocols for post-op patients with repaired or reconstructed posterolateral corner injuries focus on strengthening and achieving full range of motion. Similar to nonoperative treatments, the patient is non-weightbearing for 6 weeks followed by a return to partial weight-bearing on crutches. Range of motion exercises begin first ...
External fixation is a surgical treatment wherein Kirschner pins and wires are inserted and affixed into bone and then exit the body to be attached to an external apparatus composed of rings and threaded rods — the Ilizarov apparatus, the Taylor Spatial Frame, and the Octopod External Fixator — which immobilises the damaged limb to facilitate healing. [1]
The final step of reconstruction ligament fixation is the proximal tibial attachment of the sMCL. This soft-tissue attachment can be reproduced with a suture anchor [ 28 ] placed 12.2 mm distal to the medial joint line (average location), directly medial to the anterior arm of the semimembranosus tibial attachment. [ 27 ]
Patients with tibial shaft fractures present with pain and localized swelling. [2] Due to the pain they are unable to bear weight. There may be deformity, angulation, or malroation of the leg. [2] Fractures that are open (bone exposed or breaking the skin) are common. [citation needed]
An intramedullary rod, also known as an intramedullary nail (IM nail) or inter-locking nail or Küntscher nail (without proximal or distal fixation), is a metal rod forced into the medullary cavity of a bone. IM nails have long been used to treat fractures of long bones of the body.
A trimalleolar fracture is a fracture of the ankle that involves the lateral malleolus, the medial malleolus, and the distal posterior aspect of the tibia, which can be termed the posterior malleolus.