Sleeved Total Knee Replacement for Tibial Plateau Fracture (MBT DePuy)


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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
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CPD Points:

  • 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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