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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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occurrence in tibial plateau fractures reaches 12% and even 53% in higher-energy patterns ( 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 ). In tibial shaft fractures, ACS occurrence reaches 11.5% ( 10
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Introduction Partial tibial plateau fractures may occur as a consequence of a valgus or varus trauma combined with a rotational and axial compression component. In the following article, we focus mainly on unicompartmental AO type B1-B3
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AO Foundation, PAEG Expert Group, Davos, Switzerland
Hospital Base de Valdivia, Valdivia, Chile
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Hospital Base de Valdivia, Valdivia, Chile
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Universidad del Desarrollo, Santiago, Chile
Hospital Clínico Mutual de Seguridad, Santiago, Chile
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and tenderness since the tibial plateau and the anterior tibial tuberosity are easy to palpate due to the minimum coverage of soft tissue. 12 , 13 Deficiency of the extensor mechanism is usually present in Ogden type II and III fractures, but
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might be impractical for the vast majority of intra-articular impacted fractures with the nature of peri-articular soft tissues often sustained. In the knee joint, common injuries include meniscal lesions in tibial plateau fractures which have been
Hospital Militar de Santiago, Santiago, Chile
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Clínica Alemana - Universidad del Desarrollo, Santiago, Chile
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fractures, the fracture line extends into the lateral tibial plateau ( Fig. 1 ). Figure 1 Takeuchi´s Classification. Left: Type I fractures extend throughout the osteotomy line and continue through the lateral cortex proximal or at the same level as
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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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following ORIF for tibial plateau fracture IV Su et al (2017) 59 Retrospective study Both 114 204 Postoperative infection after ORIF for calcaneal fracture IV Iqbal et al (2017) 60 Retrospective study Both 63 187
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tibial shaft fracture and type II c) (9%) is a fracture of the tibia plateau and articular fracture of the distal femur. 2 Fig. 1 Fraser classification of the floating knee. Initial management The floating knee is much more than a
