Tibial Plateau Fracture Characteristics: Computed Tomography Mapping of Lateral, Medial, and Bicondylar Fractures

2015 ◽  
Vol 97 (18) ◽  
pp. 1512-1520 ◽  
Author(s):  
Rik J Molenaars ◽  
Jos J Mellema ◽  
Job N Doornberg ◽  
Peter Kloen
Keyword(s):  
Computed Tomography ◽  
Tibial Plateau ◽  
Tibial Plateau Fracture ◽  
Fracture Characteristics ◽  
Plateau Fracture ◽  
Bicondylar Fractures

Tibial Plateau Fracture Characteristics

2016 ◽  
Vol 30 (5) ◽  
pp. e144-e151 ◽  
Author(s):  
Jos J. Mellema ◽  
Job N. Doornberg ◽  
Rik J. Molenaars ◽  
David Ring ◽  
Peter Kloen
Keyword(s):  
Tibial Plateau ◽  
Tibial Plateau Fracture ◽  
Fracture Characteristics ◽  
Plateau Fracture

scholarly journals Computed Tomography Evaluation of Tibial Plateau Fracture and Classification by Schatzker System

2018 ◽  
Vol 3 (4) ◽  
Author(s):  
Umamaheshwari Basavaraju ◽  
Shruti Mankani ◽  
Nanjaraj Chakenalli Puttaraj ◽  
N.L. Rajendrakumar ◽  
Kavya Shree ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Tibial Plateau ◽  
Tibial Plateau Fracture ◽  
Plateau Fracture

Intra-articular tibial plateau fracture characteristics according to the “Ten segment classification”

Injury ◽  
2016 ◽  
Vol 47 (11) ◽  
pp. 2551-2557 ◽  
Author(s):  
Matthias Krause ◽  
Achim Preiss ◽  
Gunnar Müller ◽  
Jürgen Madert ◽  
Kai Fehske ◽  
...  
Keyword(s):  
Tibial Plateau ◽  
Tibial Plateau Fracture ◽  
Fracture Characteristics ◽  
Plateau Fracture

scholarly journals POSTERO-MEDIAL TIBIAL PLATEAU (MOORE’S TYPE) FRACTURE AND THE IMPORTANCE OF COMPUTER TOMOGRAPHY IN DIAGNOSIS: A CASE REPORT

2020 ◽  
Vol 8 (5_suppl5) ◽  
pp. 2325967120S0004
Author(s):  
Yunus R Mohd ◽  
G.N Solayar ◽  
A. R Ahmad
Keyword(s):  
Computed Tomography ◽  
Classification System ◽  
Tibial Plateau ◽  
Tibial Fracture ◽  
Tibial Plateau Fracture ◽  
Type I ◽  
Computerised Tomography ◽  
Medial Approach ◽  
Computed Tomography Scanning ◽  
Plateau Fracture

Moore type I posteromedial split fracturedislocation of proximal tibia are relatively uncommon. It is a specific fracture pattern that is not well described by the AO (41B2.2/B3.2) or Schatzker (IV) classification system because these systems do not differentiate when the medial fragment is primarily posterior and associated with a dislocation as the Moore system does. 1The additional use of computed tomography scans in the assessment of tibial plateau fracture may improve surgeon’s agreement that lead to the final decision and optimization of treatment. 2Galla and Lobenhoffer described a direct posteromedial approach for managing Moore type I tibial plateau fracture1. Report: A 48 years old malay gentlemen was alleged motor-vehicle accident, sustained closed fracture tibial plateau of right knee. Initially patient was diagnosed with right tibial fracture schatzker IV based on right knee anterior-posterior and lateral view xray. But CT scan had done, show the proximal tibial fracture transversing medial aspect with coronal spliting. Patient was treated with posteromedial locking compression plate with Lobenhoffer approach. Intraoperatively, diagnosis was confirmed with Hohl & Moore classification type I, there is coronal split fracture extending to posteromedially. The importance of computerised tomography scans when dealing with intra-articular fracture of tibial plateau may improve regarding localisation of fracture lines, depression zone, comminution, and the surgical treatment plan. 2Alexander et al. reported after addition of computerised tomography scans significantly improved to “good” in all classification. The features of Moore’s type I fracture which is coronal split fracture dominantly posterior column, coronal view from CT scans is more useful compare than sagital view. Galla and Lobenhoffer have introduce a direct postero-medial approach that minimizes soft tissue injury while allowing excellent fracture visualization, reduction, and fixations. 1This technique protect the neurovascular bundle and requires only suboeriosteal elevation of the popliteus to obtain full exposure. Furthermore, because of the protecting posterior soft tissues, skin closure and wound healing are reliable. Conclusion: Moore’s type I fracture managed with postero-medial approach has better post operative outcome, improved reliability and shows good reproducibility when classified with computerised tomography scans. References: Johannes K.MF, et al,. Optimizing the Management of Moore Type I Postero-Medial Split Fracture Dislocations of the Tibial Head: Description of the Lobenhoffer Approach. J Orthop Trauma 2007;21:330-336 Alexander B, et al. Classification system for tibial plateau fractures: Does computed tomography scanning improve their reliability? Injury, Int. J. Care Injured 41 (2010) 173-178

scholarly journals Late-onset isolated cerebral fat embolism syndrome after a simple tibial plateau fracture: a rare case report

2021 ◽  
Vol 49 (7) ◽  
pp. 030006052110284
Author(s):  
Ta-Li Hsu ◽  
Tien-Chi Li ◽  
Fei-Pi Lai ◽  
Ming Ouhyoung ◽  
Chih-Hung Chang ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Rare Case ◽  
Tibial Plateau ◽  
Tibial Plateau Fracture ◽  
Fat Embolism ◽  
Resonance Imaging ◽  
Fat Embolism Syndrome ◽  
Embolism Syndrome ◽  
Plateau Fracture

Fat embolism syndrome (FES) is a complication of long bone fractures that often occurs within 72 hours of injury. Early-onset isolated cerebral fat embolism is catastrophic and rarely reported. We herein present a rare case of delayed-onset isolated cerebral FES that developed 10 days after definite fixation of a left tibial plateau fracture. A 70-year-old woman was injured in a traffic accident and diagnosed with a left tibial plateau fracture. However, she developed sudden loss of consciousness (E4V1M1) and quadriplegia 10 days after fracture fixation. Her vital signs showed no respiratory distress. Diagnosis of isolated cerebral FES was made based on magnetic resonance imaging of the brain, the findings of which were compatible with the clinical neurological findings. After supportive care and rehabilitation, her consciousness became clear on the second day of admission, and her consciousness changed to E4V5M6. She gradually regained strength in her right limbs but had residual left limb paraplegia. Isolated cerebral FES should always be considered for patients who develop a change in consciousness, even beyond 72 hours after injury. Imaging may not initially show definitive abnormalities. Repeated magnetic resonance imaging should be considered if the initial clinical presentation does not fully meet Gurd’s criteria.

scholarly journals Gastrocnemius muscle flap with vancomycin/gentamicin-calcium sulfate and autogenous iliac bone graft for the phase I treatment of localized osteomyelitis after tibial plateau fracture surgery

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Weiwei Ruan ◽  
Menglu Li ◽  
Qiaofeng Guo ◽  
Bingyuan Lin
Keyword(s):  
Phase I ◽  
Calcium Sulfate ◽  
Tibial Plateau ◽  
Gastrocnemius Muscle ◽  
Tibial Plateau Fracture ◽  
Muscle Flap ◽  
Iliac Bone ◽  
Type Iii ◽  
Plateau Fracture ◽  
Fracture Surgery

Abstract Purpose To investigate the clinical effect of gastrocnemius muscle flaps combined with vancomycin/gentamicin-calcium sulfate combined and autologous iliac bone graft in the phase I treatment of traumatic focal osteomyelitis (Cierny-Mader type III) after tibial plateau fracture surgery. Methods From July 2009 to January 2018, 35 patients with localized osteomyelitis (Cierny-Mader type III) who met the inclusion criteria were followed up and treated. All patients were infected after undergoing internal fracture fixation surgery. Among them, 18 cases were plate-exposed, 14 cases were due to sinus tracts, two were due to skin necrosis, and one was bone-exposed. We treated patients with several measures. All cases were then followed up. The follow-up indicators included Hospital for Special Surgery knee scores (HSS), the time of laying drainage pipe, bone healing time, infection control rate, and the incidence of nonunion and other complications. Results All patients were followed up for 24–60 months. None of them underwent amputation. For repairing soft tissue defects, 17 cases were covered with a muscle flap using the medial head of gastrocnemius alone, 15 cases were treated with the lateral head of gastrocnemius muscle, and three cases were covered with the combination of the two heads. Compared to the preoperative score, we found that the average HSS improved at the 1-year and 2-year follow-up (54 vs. 86 vs. 87). Conclusion Using a gastrocnemius muscle flap combined with vancomycin/gentamicin-calcium sulfate and autogenous iliac bone was an effective method for the phase I treatment of osteomyelitis (Cierny-Mader type III) after tibial plateau fracture surgery. In the primary treatment of focal traumatic osteomyelitis, it can decrease the treatment time, number of surgeries, pain of patients, time of bone healing, postoperative exudation, and infection recurrence rate and increase the healing bone’s strength.

Epiphyseal Split Depression Tibial Plateau Fracture with Preservation of Physeal Growth in a Pediatric Patient

2020 ◽  
Vol 10 (3) ◽  
pp. e20.00025-5
Author(s):  
LT Aaron A. Olsen ◽  
LT Mark S. Katsma ◽  
CDR Christopher S. Smith ◽  
LCDR Matthew T. Stepanovich
Keyword(s):  
Pediatric Patient ◽  
Tibial Plateau ◽  
Tibial Plateau Fracture ◽  
Plateau Fracture
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