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Work Up and PreOp Planning 
- AO Classification:
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Type I Fracture
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Type II Fracture:
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Type III Fracture:
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Type IV Fractures:
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Type V Fractures:
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Type VI Fractures:
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Bicondylar Fractures:
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Fracture Dislocations:
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Frx of the Fibula and Tibial Plateua fractures:
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Ligamentous Injuries in Tibial Plateau Fractures:
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Local Compression Fracture:
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Medial Tibial Plateua Fractures:
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Minimally Displaced Fractures:
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Post Operative Care and Compications:
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Radiographs:
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Rim Fractures:
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Split Compression Fractures:
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Split Fractures:
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Surgical Approaches:
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Lateral Plateau:
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Medial Plateau:
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Total Depression Fracture:
- Discussion:
- 60% of plataue frxs involve
lateral plateau.
- this probably is result of valgus alignment of lower extremity and fact that most injuring forces are directed laterally to medially;
- frxs of
medial plateau make up 15% &
bicondylar lesions 25% of plateau frx;
-
bicondylar frxs combine any of unicondylar lesions w/ frx of metaphysis;
- partial or complete
ligamentous ruptures occur in about 15% to 45% & meniscal lesions in about 5-37% of all tibial plateau frx;
- Radiographic Studies:
- Non Operative Treatment:
Closed reduction of tibial plateau fractures. A comparison of functional and roentgenographic end results.
The cast brace and tibial plateau fractures.
Cast brace treatment of proximal tibia fractures. A ten-year follow-up study.
Fractures of the tibial plateau. Treatment by closed reduction and spica cast.
Closed reduction of tibial plateau fractures. A comparison of functional and roentgenographic end results.
- Operative Management:
- Work Up and PreOp Planning:
- Surgical Approaches:
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Lateral Plateau:
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Medial Plateau:
- Bone Grafting:
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Interporous hydroxyapatite as a bone graft substitute in tibial plateau fractures.
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Factors influencing the results of open reduction and internal fixation of tibial plateau fractures.
- Role of Arthroscopy: (see
arthroscopy of the knee)
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Arthroscopy of meniscal injuries with tibial plateau fractures.
- The Role of Arthroscopy in the Management of Tibial Plateua Fractures. RB Caspari, PM Hutton, TL Whipple, and JF Meyers. Arthroscopy. 1: 76, 1985.
- Arthroscopic Restoration of Depressed Tibial Plateau Fractures Using Bone and Hydroxyapatite Grafts. M Itokazu and T Matsunaga. Arthroscopy, 9: 103, 1993.
- Arthroscopic Management of Tibial Plateau Fractures. CA Guanche, AW Markman. Arthroscopy, 9: 467, 1993.
- Arthroscopically Assisted Treatment of Lateral Plateau Fractures in Skiers: Use of a Cannulated Reduction System. J. Orthop Trama, 8: 273, 1994.
- Arthroscopic Management of Tibial Plateau Fractures. KJ O'Dwyer, VR Bobic. Injury, 23: 261, 1992.
- Arthroscopic Management of Tibial Plateau Fractures. JE Jennings. Arthroscopy, 9: 103, 1993.
- The Role of Arthroscopy in the Assessment and Treatmetn of Tibial Plateau Fractures. CD Fowble, JW Zimmer, and AA Schepsis. Arthroscopy, 9: 584, 1993.
- Post Operative Care and Compications:
Classification of fractures of the tibial condyles.
Tibial plateau fractures. Management and expected results.
Fractures of the tibial plateau: a review of ninety-five patients and comparison of treatment methods.
Indications for surgical treatment of tibial condyle fractures.
Tibial plateau fractures. A comparison of conservative and surgical treatment.
External fixation and limited internal fixation for complex fractures of the tibial plateau.
Meniscal detachment to approach lateral tibial plateau fractures.
Indirect reduction and percutaneous screw fixation of displaced tibial plateau fractures.
Immediate internal fixation of open, complex tibial plateau fractures: treatment by a standard protocol.
Tibial Plateau Fractures.
Anglen JO, Healy WL. Orthopedics 11: 1527-1534, 1988.
Open Reduction Internal Fixation of Complex Proximal Tibial Fractures.
Benirschke SK, Agnew SG, Mayo KA, Henley MB, Santoro VM. J. Orthop Trauma 5: 236, 1991.
Early Results of a New Technique for Treatment of High Grade Tibial Plateau Fractures.
Christensen K, Powell J, Bucholz R. J. Orthop. Trauma 4: 226, 1990.
Percutaneous Screw Fixation of Tibial Plateau Fractures.
P. Keogh, C Kelly, WF Cashman, AJ McGuinness, and SK O'Rourke. Injury, 23: 387, 1992.
The small pin circular fixator for proximal tibial fractures with soft tissue compromise.
CP Murphy, R D'Ambrosia, and EJ Dabezies. Orthopedics, 14: 273, 1991.
Limted Internal Fixation of Tibial Plateau Fractures.
MR Rangitsch, PJ Duwelius, and MR Colville. J. Orthop. Trauma, 7: 168, 1993.
Medial External Fixation with Lateral Plateau Internalf Fixation in Metaphyseal Tibial Fractures. A report of 8 cases associated with severe soft tissue injury.
MD Ries, and BP Meinhard. CORR. 256: 215, 1990.
Tibial Plateau Fractures: A review of operative treatment using AO technique.
FH Savoie, RA Vander Griend, EF Ward, and JL Hughes. Orthopedics, 10: 745, 1987.
Hybrid external fixation of comminuted tibial plateau fractures.
RF Gaudinez et al. CORR. Vol 328. 1996. p 203-210.
