Open reduction and internal fixation of posterior column tibial plateau fracture with Synthes proximal tibial LISS plate
Subscribe to get full access to this operation and the extensive Knee Surgery Atlas.
Learn the Open reduction and internal fixation of posterior column tibial plateau fracture with Synthes proximal tibial LISS plate surgical technique with step by step instructions on OrthOracle. Our e-learning platform contains high resolution images and a certified CME of the Open reduction and internal fixation of posterior column tibial plateau fracture with Synthes proximal tibial LISS plate surgical procedure.
As with much of adult trauma tibial plateau fractures have a bimodal distribution. In younger patients these injuries result from high energy mechanisms such as falls from height or road traffic accidents whereas in the elderly population they more often result from simple falls.
Tibial plateau injuries have been classified by Schatzker, on the basis of plain film radiographs, into 6 types. Types 5 (bicondylar) and type 6 (bicondylar with complete separation of the joint surface from the tibial shaft) represent the higher energy injuries. A more recent classification by Luo, based on CT scans, divides the tibial plateau into 3 columns, medial, lateral and posterior and helps to guide the surgical approach to the fracture depending on the precise fracture configuration.
The majority of tibial plateau fractures involve the lateral side and can be approached with the standard anterolateral approach with meniscal elevation. For those fractures with medial or posterior involvement a number of further approaches are possible from direct medial, postero-medial, direct posterior or even poster-lateral. Fixation of bicondylar tibial plateau fractures via a single anterior mid-line incision is now generally avoided owing to extensive soft tissue dissection required and the consequential wound problems associated with this approach.
Readers will also find of interest Sleeved Total Knee Replacement for Tibial Plateau Fracture (MBT DePuy)
Author:Mr Paul Fenton FRCS (Tr & Orth)
Institution: The Queen Elizabeth Hospital, Birmingham, UK.
- Each operation and the questions associated become a named course in the CPD section
- The operative technique itself is read as a lesson as is any company implant information if this is being assessed.
- You’ll need to tick the box to confirm this has been done and can do this immediately if you have already read the op tech.
- The vast majority of operations have a 10-15 MCQ quiz covering all aspects of the decision making and the technique
- There are four possible answers of which one is correct (or on occasion more correct) than the others.
- There are additional quiz modules on the surgical steps, the implants and problem cases being added continually
- The course is completed once all the lessons are read and quizzes submitted and passed.
- On successful completion of each quiz you will receive validated CPD points that add to the certificate in your CPD folder.
- Your dashboard also will contain a record of the time you have spent logged onto and using the site.
- The timer suspends after 5 minutes though if there is no activity.
- When you restart you will resume at the same point in the module.
- Once you have completed each quiz you will need to feedback on the module first then click “submit” and your paper will be marked.
The pass mark is 75%.
- If you fall below this level you will be directed back to re-read the slides where you’ve tripped up.
- Once these have been read you can re-do just the questions you failed on.
- Once you have passed the quiz you can return at a future stage & resit .
- Operation Quiz – 1 CPD point
- Surgical steps Quiz – 1/4 CPD point
- Implants Quiz – 1/4 CPD point
- Problem case Quiz – 1/2 CPD point
One CPD point equates to one hour of academic activity
Welcome to the Professional Development question section. The objective of taking these tests is to demonstrate that you have understood all aspects of the assessment and management of patients requiring surgical intevention. On successful completion you will receive a certificate accredited by both the Royal College of Surgeons of both England and Edinburgh as well as the British Orthopaedic Association.
Our content is designed for both Surgeons in independent practice and Surgeons in training.