Fundación Maurice E. Müller - España

Foundation Overview Teaching Activities and ServicesComprehensive Classification SystemBooksData Base of Fractures CasesResearch  ActivitiesWebsite Map
Atlas of International Fixation Errores en la Osteosíntesis Atlas de Artroscopia
Introduction Presentation Explanation Main Index Collaborations
  Tibia/Fibula, Proximal, complete
articular fracture, articular simple,
metaphyseal simple
0,34% of the total
1,76% of the tibia
7,10% of the segment
     
 

95 fractures
51,1% group
49%M, 51%F
 

54 fractures
29,0% group
63%M, 37%F
 

37 fractures
19,9% group
65%M, 35%F
 
             
        Slight displacement +Q         One condyle displaced +Q         Both condyles displaced +Q  
 
These are complete articular fractures of the proximal tibia, with a simple fracture line involving both the articular surface and the metaphyseal area, with slight displacement. Ref. Manual of Internal Fixation:
208 - 213. 568 - 577.
Surgeon. RO.

Surgical planning consists in first reducing the articular surface with cancellous lag screws followed by internal fixation and compression of the metaphyseal fracture. The epiphyseal lag screws should be preferably placed through a T or an L plate, that facilitates the parallel

 

placement of the screws. Because of the small thickness of these plates making them quite elastic, it is advisable to place another small plate contralaterally at the level of the metaphyseal fracture to neutralize the flexion stresses.

 
     
   
preoperative preoperative
+ 4 months + 4 months

Top

 
... ..

 

 

 
   
   
preoperative preoperative
preoperative preoperative
preoperative preoperative
+ 2 months + 2 months

Top