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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.
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. [2]
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.
A tib-fib fracture is a fracture of both the tibia and fibula of the same leg in the same incident. In 78% of cases, a fracture of the fibula is associated with a tibial fracture. [6] Since the fibula is smaller and weaker than the tibia, a force strong enough to fracture the tibia often fractures the fibula as well. Types include:
Implant that has been used for fixation of a broken wrist. Closed reduction internal fixation (CRIF) is reduction without any open surgery, followed by internal fixation. It appears to be an acceptable alternative in unstable distressed lateral condylar fractures of the humerus in children, but if fracture displacement after closed reduction exceeds 2 mm, open reduction and internal fixation ...
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The knee is then flexed to 20°. Making sure the tibia remains in neutral rotation, a varus force is used to ensure there is no medial compartment gapping of the knee. The sMCL graft is then tightened and fixed with a bioabsorbable screw. [27] The final step of reconstruction ligament fixation is the proximal tibial attachment of the sMCL.
The five living U.S. presidents — Joe Biden, Donald Trump, Barack Obama, George W. Bush and Bill Clinton — reunited to honor the life and legacy of Jimmy Carter. On Thursday, Jan. 9, a date ...