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Tibial plateau fractures (TPFs) are common and difficult-to-manage injuries that can be due to high- or low-energy trauma and can affect young adults or third-age patients. When faced with one of these injuries there are some questions to be
Faculty of Medicine, Universidad Francisco de Vitoria, Madrid, Spain
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Osteoarticular Surgery Research, Hospital La Paz Institute for Health Research – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain
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Introduction Tibial plateau fractures constitute 1% of all fractures and have a bimodal distribution: a peak incidence in young patients following high-energy mechanisms and the second peak in elderly patients with osteoporotic bone ( 1 , 2
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a) Articular deformity; b) lateral post-traumatic arthritis following tibial plateau fracture, treated with lateral UKA implant fracture; c) the removal of only one screw; d) follow-up at two years shows good restoration of limb alignment
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knee, which is usually painless ( 16 , 23 ). Conditions such tibial plateau fractures and arthrofibrosis can usually lead to a combined contracture affecting the range of motion in flexion and extension either ( 24 , 25 ). Risk factors
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multiple pin holes (> 2) for the tibial cutting jig, 60 valgus inclination of the tibial component, 58 and low bone mineral density. 61 A finite element analysis demonstrated increased risk of medial tibial plateau fracture with increasing valgus and
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conversion to TKR; one osseous loose body; one tibial plateau fracture Heyse et al. (6) 2012 18 III RCS 53.7 ± 5.8 N/a 10.0 ± 4.6 years Fixed-bearing medial UKR 92 Two (11%) revisions to a TKR at a mean of 9.3 years
Personalized Arthroplasty Society, Atlanta, Georgia, USA
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Nuffield Orthopaedic Centre, Headington, Oxford, UK
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Personalized Arthroplasty Society, Atlanta, Georgia, USA
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South-West London Elective Orthopaedic Centre, Epsom, UK
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Shamir Medical Center, Zriffin, Israel
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Département de Chirurgie, Université de Montréal, Hôpital Maisonneuve-Rosemont, Montréal, Québec, Canada
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valgus ( Fig. 7 and Fig. 8 ) and varus knee ( Fig. 9 and Fig. 10 ). 16 Situations like this may be found in cases of severe long-lasting osteoarthritis, collapsed avascular necrotic bone, or sequels of depression-type tibial plateau fracture. The
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studies regarding tears in degenerated menisci and generalized OA. 33 Individual risk factors are, for example: female gender, older age, genetic pre-conditions, thickened intimal media of the carotid artery, tibial plateau fracture, ACL insufficiency
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et al 77 2019 1 Mako 3 – – Three cases (femoral and tibial fracture malunion, proximal tibial fracture nonunion, healed tibial plateau fracture) of patients who underwent RA-TKA in the setting of preoperative extra