Fracture of the tibial head

Der Unfallchirurg
W PetersenM Raschke

Abstract

Fractures of the tibial head are severe injuries, characterized by enormous variety. Fractures can be classified into fractures of the tibial plateau, luxation fractures, and comminuted fractures. Due to the mechanism of injury luxation fractures are frequently associated with lesions of the menisci and intra- and extra-articular ligaments. Multiple factors can be etiologic for post-traumatic gonarthrosis: nonanatomic reduction of the joint surface, malalignment, and unaddressed associated injuries. Therefore in addition to diagnostic steps such as X-ray, CT scan, and MRI a sophisticated therapeutic regime is necessary. In cases with severely damaged soft tissue or unstable patients, the fracture should initially be reduced and fixed with an external fixator and the definite fixation should be performed in a second setting. Arthroscopically assisted treatment is reserved for fractures of the tibial eminence, crack fractures, and impression fractures. Comminuted and bilateral fractures can be addressed via different incisions. New locking plates with angular stability allow avoidance of bilateral plating in most situations. In specific cases such as compound fractures and for patients with low compliance, a hybrid fixator may be...Continue Reading

References

Jan 1, 1994·Journal of Orthopaedic Trauma·W F Bennett, B Browner
Jan 1, 1993·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·V Bobic, K J O'Dwyer
Jul 1, 1997·Der Unfallchirurg·P Hertel

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Citations

Nov 21, 2007·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·M RaschkeW Petersen
Feb 24, 2011·Der Unfallchirurg·C KöstersM J Raschke
Mar 22, 2013·Der Unfallchirurg·E Enderle, K-H Frosch
Aug 25, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Yudong GanYongqing Xu
Dec 3, 2014·Operative Orthopädie und Traumatologie·M HerbortW Petersen
Nov 4, 2008·Journal of Orthopaedic Trauma·Stefan EggliChristoph Röder
Feb 5, 2009·Clinical Orthopaedics and Related Research·Robert HudekPeter P Koch
Jul 26, 2019·Journal of Orthopaedic Surgery and Research·Nils BeisemannSven Y Vetter
Sep 23, 2020·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Amit Sinha, Nicola Maffulli

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