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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.
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 ]
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 ...
High tibial osteotomy is an orthopaedic surgical procedure which aims to correct a varus deformation with compartmental osteoarthritis.Since the inception of the procedure, advancements to technique, fixation devices, and a better understanding of patient selection has allowed HTO to become more popular in younger, more active patients hoping to combat arthritis. [1]
1 Additional images. 2 References. Toggle the table of contents. ... Waiting delays care an average of 7 days, and longer for tibial plateau and calcaneal fractures ...
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.