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.
0 of 15 questions completed
You have already completed the quiz before. Hence you can not start it again.
Quiz is loading…
You must sign in or sign up to start the quiz.
You must first complete the following:
0 of 15 questions answered correctly
Time has elapsed
Question 1 of 15
In young patients Schatzker 5 & 6 tibial plateau fractures occur after which one of the following?CorrectIncorrect
Question 2 of 15
Which one of the following is not true of the Schatzker classification?CorrectIncorrect
Question 3 of 15
In high energy tibial plateau fractures which of the following is not an indication for a temporary spanning external fixator?CorrectIncorrect
Question 4 of 15
Possible approaches for open reduction and internal fixation of bicondylar tibial plateau fractures include all of the following except which one?CorrectIncorrect
Question 5 of 15
Which one of the following is an indication for the management of a bicondylar tibial fracture using a ring fixator?CorrectIncorrect
Question 6 of 15
When performing a posterior approach to the tibia plateau as described By Luo, which one of the following structures is not at risk during the superficial dissection?CorrectIncorrect
Question 7 of 15
During the posterior approach to the tibial plateau described by Luo, to avoid injury to the posterior neurovascular structures which of the following is true of the deep dissection ?CorrectIncorrect
Question 8 of 15
With regard to buttress plating of an articular fracture which one of the following is correct ?CorrectIncorrect
Question 9 of 15
with respect to the anterolateral approach to the tibial plateau which one of the following is not a choice of skin incision ?CorrectIncorrect
Question 10 of 15
During the anterolateral approach to the tibial plateau direct joint visualisation should be achieved by which one of the following ?CorrectIncorrect
Question 11 of 15
When using raft screws to support a depressed joint fragment in tibial plateau fracture fixation all of the following could be used except which one ?CorrectIncorrect
Question 12 of 15
Following internal fixation of a tibial plateau fracture which one of the following options is when joint mobilisation should be commenced ?CorrectIncorrect
Question 13 of 15
which one of the following is the most common complication after open reduction and internal fixation of a closed tibial plateau fracture?CorrectIncorrect
Question 14 of 15
All of the following are associated with the development of post-traumatic arthritis in tibial plateau fractures except which one ?CorrectIncorrect
Question 15 of 15
The incidence of end-stage arthritis requiring knee replacement after tibial plateau fractures is which one of the following ?CorrectIncorrect