Abstract
Fractures in the proximal region of the tibia may involve the metaphyseal area alone, or both the metaphysis and the joint itself. Where there is very severe comminution of the articular surface, as in AO type C2 and particularly AO type C3 fractures, it is becoming common practice to bridge the joint with an external frame using the principle of ligamentotaxis to achieve gross reduction and to combine this with minimal internal synthesis to re-establish the joint surface.1,2
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Marsh JL, Smith ST, Do TT. ‘External Fixation and Limited Internal Fixation for Complex Fractures of the Tibial Plateau’. J Bone Joint Surgery [Am] 1995; 77-A: 661–73.
Marsh JL. ‘High Energy Tibial Plateau Fractures: Treatment with Monolateral External Fixation’. This book, Ch. 24.
Burrl C, Bartzke R, Coldewey J, Muggier E. ‘Fractures of the tibial plateau’. Clin Orthop 1979; 138: 84–93.
Mallik AR, Covall DJ, Whitelaw GP. ‘Internal versus external fixation of bicondylar tibial plateau fractures’. Orthop Rev 1992; 21: 1433–6.
Moore TM, Patzakis MJ, Harvey JP Jr. ‘Tibial plateau fractures: definition, demographics, treatment rationale, and long-term results of closed traction management or operative reduction’. J Orthop Trauma 1987; 1: 97–119.
Young MJ, Barrack RL. ‘Complications of internal fixation of tibial plateau fractures’. Orthop Rev 1994; 149–154.
De Bastiani G, Aldegheri R, Renzi Brivio L. ‘The treatment of fractures with a dynamic axial fixator’. J Bone Joint Surg [Br] 1984; 66-B: 538–45.
Smith ST, Marsh JL, Found EF. ‘External fixation for severe tibial plateau fractures’. Orthop Trans 1992–3; 16: 631.
Weiner LS, Kelly M, Yang E, Steuer J, Watnick N, Evans M, Bergman M. ‘Treatment of severe proximal tibial fractures with minimal internal and external fixation’ (Abstract) J Orthop Trauma 1991; 5: 236–7.
Checketts RG, Otterburn M, MacEachern G. ‘Pin track infection: definition, incidence and prevention’. Int J Orthop Trauma 1993; Suppl Vol 3 (3); 16–18.
Checketts RG, Otterburn M, MacEarchern AG. ‘Pin track infection and the principles of pin site care’. This book, Ch. 12.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2000 Springer-Verlag London Limited
About this chapter
Cite this chapter
Brivio, L.R. (2000). Proximal Metaphyseal Fractures of the Tibia. In: De Bastiani, G., Apley, A.G., Goldberg, A. (eds) Orthofix External Fixation in Trauma and Orthopaedics. Springer, London. https://doi.org/10.1007/978-1-4471-0691-3_25
Download citation
DOI: https://doi.org/10.1007/978-1-4471-0691-3_25
Publisher Name: Springer, London
Print ISBN: 978-1-4471-1178-8
Online ISBN: 978-1-4471-0691-3
eBook Packages: Springer Book Archive