Management of Soft Tissue Injuries Associated with Tibial Plateau Fractures

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Management of soft tissue injuries associated with tibial plateau fractures.

Tibial plateau fractures or knee fracture-dislocations often result from trauma or sporting injuries. Given the subcutaneous position of the knee and upper tibia, without much intervening soft tissue, any such injury can be associated with significant soft tissue damage. Thus, consideration of the degree of soft tissue injury must be part of the treatment plan. Specific management decisions reg...

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Soft tissue injuries associated with pelvic fractures.

Significant soft tissue injuries often occur as part of high-energy injuries to the pelvis. These soft tissue injuries must be recognized and considered when implementing a treatment plan if complications are to be minimized. Vigilance in diagnosing open fractures must be maintained. Patients with these injuries must be managed aggressively, because they are at high risk for complications and d...

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Management of Tibial Plateau Fractures in Patients Having Compromised Soft Tissue Envelope Using Ilizarov External Fixator

Background: Complex fractures of the tibial plateau are associated with considerable displacement of the articular surface together with either open wounds or severe soft tissue injury. Adequate Condition of the soft tissue is an important prerequisite before reconstruction of the tibial plateau. Conventional treatment by open reduction and internal fixation by plate and screws necessitates ext...

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Arthroscopy of meniscal injuries with tibial plateau fractures.

We examined 36 consecutive patients with closed tibial plateau fractures under anaesthesia and by diagnostic and operative arthroscopy before treating them by closed or open reduction and internal fixation. Following the principle of Hohl (1967) (Fig. 1) there were 9 minimally displaced fractures (type I), 6 with local depression (type II), 13 with split depression (type III), 7 with total cond...

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Arthroscopic Management for Tibial Plateau Fractures

Twenty-one tibial plateau fractures with 1 to 5 years follow-up are reviewed for the purpose of demonstrating the positive impact arthroscopy can have on patients sustaining this injury. Controversy between open and nonopen management has existed for decades. Arthroscopy bridges that controversy, allowing the advantages of accurate reduction and rigid fixation without extensive operative exposu...

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ژورنال

عنوان ژورنال: Journal of Knee Surgery

سال: 2013

ISSN: 1538-8506,1938-2480

DOI: 10.1055/s-0033-1363546