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A case report of management of grossly Communited tibial plateau fracture with triple plating a two staged procedure

Author: 
Dr. Tilakraj, K. and Dr. Sathish Balaji, E
Subject Area: 
Health Sciences
Abstract: 

High-energy tibial plateau fracture poses a significant challenge and difficulty for orthopaedic surgeons. Fracture of tibial plateau involves major weight bearing joint and may alter knee kinematics. AnatomicReconstruction of the proximal tibial articular surfaces, restoration of the limb axis (limb alignment) and stable. Fixation permitting early joint motion is the goals of the treatment. In cases of complex bicondylar tibial plateau fractures, isolated lateral plating is frequently associated with varus malalignment and better results have been obtained with bilateral plating through dual incisions. However sometimes a complex type of bicondylar tibial plateau fractures is encountered in which medial plateau has a biplanar fracture in posterior coronal plane as well as sagittal plane. In such fractures it is imperative to fix the medial plateau with buttressing in both planes. One such fracture pattern of the proximal tibia managed by triple plating through dual posteromedial and anterolateral incisions is discussed in this case report with emphasis on mechanisms of this type of injury, surgical approach and management.

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