M.E.Müller: Atlas: Fracture 41-B3

Tibia/Fibula, Proximal,
partial articular fracture,
split-depression
1,03% of the total
5,33% of the tibia
21,44% of the segment

472 fractures
84,0% group
50%M, 50%F

29 fractures
5,2% group
46%M, 54%F

61 fractures
10,8% group
46%M, 54%F

Lateral +Q Medial +Q Oblique, involving the tibial spines & one of the surfaces +Q

These are fractures of the proximal tibia, involving the lateral tibial plateau, with a longitudinal fracture combined with depression of the articular surface (split-depression fractures), either involving or not the tibial spines. They represent the combination of the lesions that characterize the groups B1 and B2. Ref. Manual of Internal Fixation:
184 - 187. 208 - 213. 568 - 577.
Surgeon. RO, RO, RO.

The treatment follows the guidelines exposed for the groups B1 and B2. Anatomic reduction and bone grafting can sometimes be performed by carefully opening the fracture line without making a cortical window.

Internal fixation is performed with lag screws with scaffold function, either independent or placed through a buttress plate.

preoperative + 10 months

preoperative + 1 year

preoperative preoperative

preoperative preoperative

postoperative postoperative

+4 months + 4 months

preoperative + 6 months

preoperative preoperative preoperative

preoperative preoperative




						Tibia/Fibula, Proximal, partial articular fracture, split-depression	1,03% of the total 5,33% of the tibia 21,44% of the segment






These are fractures of the proximal tibia, involving the lateral tibial plateau, with a longitudinal fracture combined with depression of the articular surface (split-depression fractures), either involving or not the tibial spines. They represent the combination of the lesions that characterize the groups B1 and B2.		Ref. Manual of Internal Fixation: 184 - 187. 208 - 213. 568 - 577. Surgeon. RO, RO, RO.

The treatment follows the guidelines exposed for the groups B1 and B2. Anatomic reduction and bone grafting can sometimes be performed by carefully opening the fracture line without making a cortical window.	Internal fixation is performed with lag screws with scaffold function, either independent or placed through a buttress plate.