RATIONALE The knee joint is an important weight-bearing joint, tibial plateau fractures affect knee function and stability. High-energy intra-articular fractures involving the tibial plateau can cause management-related problems such as wound dehiscence; severe comminution leading to malalignment; and delayed complications such as varus collapse, implant failure, and arthritis of the knee joint...

Lower limbs are normally the first contacted body region during car-pedestrian accidents, and easily suffer serious injuries. The previous tibia bending tolerances for pedestrian safety were mainly developed from three-point bending tests on tibia mid-shaft. The tibia tolerances of other locations are still not investigated enough. In addition, tibia loading condition under the car-pedestrian i...

BACKGROUND Tibial plateau fractures are of great challenge to treat with open reduction and internal fixation, because fractures vary from simple to complex, with little or extensive articular involvement. Hence, recognition and comprehension of the fracture features will help orthopedic surgeons understand the injury mechanism better and manage these fractures by planning optimal surgical proc...

Patients considered in this review were those treated in the teaching units of the Department of Surgery of the University of Toronto between the years of 1968 and 1975. There were 94 fractures in 94 patients with adequate documentation to be accepted for review. There were 56 females and 38 males. The average age of the patients was 57 years with a span from 19 to 89 years. The highest inciden...

BACKGROUND Tibial plateau fractures account for a small portion of all fractures; however, these fractures can pose a surgical challenge when occurring concomitantly with ligament injuries. PURPOSE/HYPOTHESIS The purpose of this study was to compare 2-year outcomes of soft tissue reconstruction with or without a concomitant tibial plateau fracture and open reduction internal fixation. We hypo...

IT is generally accepted that fractures into joints must, if possible, be afforded perfect reduction, and that when accurate reduction has not been achieved, some considerable stiffness and degenerative arthritis may confidently be expected. This was once commonly illustrated by the malunited fracture-dislocation of the ankle, and incongruities of the scaphoid, olecranon and acetabulum provoke ...

Treatment of posterolateral tibial plateau fractures is controversial, and information regarding this specific fracture pattern is lacking. The purpose of this study was to elucidate the frequency and morphological features of posterolateral articular fragments in tibial plateau fractures. A retrospective radiographic and chart review was performed on a consecutive series of patients who sustai...

Prospective study of sixty patients with distal tibia fracture who underwent surgical fixation at Sri Ramachandra University between June 2010 -June 2013. Of the 60 patients included in our study 30 underwent closed intramedullary interlocking nail and 30 were treated with plate osteosynthesis (MIPO). Patients were followed up for clinical and radiological evaluation using modified Klernn and B...

Hemodialysis (HD) patients face increased fracture risk, which is further associated with elevated risk of hospitalization and mortality. High-resolution peripheral computed tomography (HR-pQCT) has advanced our understanding of bone disease in chronic kidney disease by characterizing distinct changes in both the cortical and trabecular compartments. Increased cortical porosity (Ct.Po) has been...