Schatzker VI tibial plateau fracture
Score and Comment on this Case
Clinical Details
Clinical and radiological findings: 65-year-old male patient traffic accident operated at another center
Preoperative Plan
Planning remarks:
Surgical Discussion
Operative remarks:Pre-op planning is very important in tibia pletau fractures. Otherwise, it may have very bad results.
I would prefer staged surgery in a high energy trauma,Ligament reconstruction may also be required.
The patient was planned knee artroplasty
Orthopaedic implants used: ex fix/plate/canulluted screw/after knee artroplasty
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User Discussion (1)
Dr Ed Oates
That's a prett awful attempt at fixing a very complicated plateau to be honest. I can appreciate that the desired endpoint may be arthroplasty following bony consolidation, but its a difficult XR to look at. My approach to plateaus: a) restore med and lat column heights, and aim for physiological mechanical proximal tibial angle / femoral tibial angle b) restore condylar width c) restore slope d) restore ligamanetal stability e) restore meniscal integrity and function f) restore smooth anatomical joint surface. In that order. A complex bicondylar such as this would see medial and lateral locked plating in my hands, a very ambitions plan only approaching medially.