Tibial Plateau Fractures Questions & Answers

Updated: Jul 05, 2018
  • Author: Srinivasa Vidyadhara, MBBS, DNB, MS(Orth), DNB(Orth), FNB(SpineSurg), MNAMS; Chief Editor: Thomas M DeBerardino, MD  more...
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Questions & Answers

Overview

What are tibial plateau fractures?

What is the historical importance of tibial plateau fractures?

What is the anatomy of tibial plateau fractures?

Which classification systems have been used for tibial plateau fractures?

What is the classification system of tibial plateau fractures most commonly used today?

What is the prevalence of motor vehicle-related tibial plateau fractures?

What are the differing etiologies of low-energy and high-energy tibial plateau fractures?

What is the epidemiology of tibial plateau fractures?

Presentation

What should be included in the clinical assessment of tibial plateau fractures?

What are the physical findings of tibial plateau fractures?

Workup

How are tibial plateau fractures identified on radiographs?

Which radiologic signs suggest an underlying tibial plateau fractures?

What do AP projection radiographs reveal in the assessment of tibial plateau fractures?

What do traction radiographs reveal in the assessment of tibial plateau fractures?

Why are radiographs of the uninjured knee needed in the assessment of tibial plateau fractures?

What is the role of CT scanning in the assessment of tibial plateau fractures?

What is the role of MRI in the assessment of tibial plateau fractures?

Treatment

What are the treatment options for tibial plateau fractures?

Which factors are used to determine treatment selection for tibial plateau fractures?

What is the preferred nonoperative therapy for tibial plateau fractures?

What are the indications for nonoperative treatment for tibial plateau fractures?

What are the advantages of nonoperative treatment for tibial plateau fractures?

What are the disadvantages of nonoperative treatment for tibial plateau fractures?

When is surgery indicated for tibial plateau fractures?

What are the contraindications for surgery to treat tibial plateau fractures?

When are open or arthroscopic-assisted techniques indicated for treatment of tibial plateau fractures?

How is internal fixation accomplished in the treatment of tibial plateau fractures?

How is external fixation accomplished in the treatment of tibial plateau fractures?

What is the role of combination devices in the treatment of tibial plateau fractures?

What is the role of balloon tibioplasty for treatment of tibial plateau fractures?

What are the goals for treatment of tibial plateau fractures?

What are the treatment options for joint instability in tibial plateau fractures?

How does treatment selection for tibial plateau fractures vary by age?

What are the management options for soft tissues in tibial plateau fractures?

What are possible adverse effects of fixation instability in tibial plateau fractures?

What is the treatment for type I tibial plateau fractures?

What is the treatment for type II tibial plateau fractures?

What is the treatment for type III tibial plateau fractures?

What is the treatment for type IV tibial plateau fractures?

What is the treatment for type V and VI tibial plateau fractures?

When is percutaneous screw fixation for tibial plateau fractures indicated, and what are the advantages and disadvantages?

When is percutaneous elevation and screw fixation indicated for tibial plateau fractures, and what are the advantages and disadvantages?

When is arthroscopic-assisted elevation and screw fixation indicated for tibial plateau fractures, and what are the advantages and disadvantages?

When is ORIF with or without bone grafting indicated for tibial plateau fractures, and what are the advantages and disadvantages?

When is biologic internal fixation indicated for tibial plateau fractures, and what are the advantages and disadvantages?

When is external fixators indicated for tibial plateau fractures, and what are the advantages and disadvantages?

Which patients is recovery of motion from tibial plateau fractures more difficult?

What is the postoperative care for patients with tibial plateau fractures and chronic flexion contracture?

How long is motion restricted in the postoperative care of tibial plateau fractures?

How are complications in tibial plateau fractures classified?

What are early complications of tibial plateau fractures?

What are late complications of tibial plateau fractures?

What monitoring is needed following surgery for tibial plateau fractures?