Sleeved Total Knee Replacement for Tibial Plateau Fracture (MBT DePuy) surgical technique
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Learn the Sleeved Total Knee Replacement for Tibial Plateau Fracture (MBT DePuy) surgical technique with step by step instructions on OrthOracle. Our e-learning platform contains high resolution images and a certified CME of the Sleeved Total Knee Replacement for Tibial Plateau Fracture (MBT DePuy) surgical procedure.
Tibial plateau fractures tend to occur in a bimodal pattern. Younger patients more frequently sustain injuries as part of higher velocity injuries. These injuries often form part of polytrauma and higher grade knee injuries are often associated with other knee soft tissue defects.
However in the lower demand elderly patient, tibial plateau fractures can occur with significantly less force and tend to occur in isolation. Open reduction and internal fixation of this osteoporotic bone presents its own challenges and treatment of a multi fragmentary plateau fracture may be best achieved with a total knee replacement.
Traditionally TKA was considered only after bony healing to allow support for implants, however recent advances in implant design have allowed the use of porous metal implants (for example Porocoat, Depuy) which assist in primary stability. The following report is of a mobile bearing tray (MBT) total knee for trauma utilising a Porocoat sleeve from Depuy. Implantation occurred 5 weeks following injury.
Author: Mr Andrew Gordon PhD, FRCS (Tr & Orth)
Institution: The Northern General Hospital, Sheffield, 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.
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