Abstract
The patient is an 18-year-old female with no past medical history other than borderline mental retardation who presents after an urban all-terrain vehicle (ATV) accident where she was thrown from the vehicle. On initial evaluation in the trauma bay, she was noted to have a 15 × 6 cm wound over her anteromedial leg, with significant degloving over the tibia. She was found to have a Schatzker VI tibial plateau fracture with large (Gustilo Anderson IIIB) metadiaphyseal butterfly fragment (Fig. 6.1). She also was found to have a nondisplaced medial malleolus fracture on the ipsilateral side.
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Further Reading
Ariffin HM, et al. Modified hybrid fixator for high-energy Schatzker V and VI tibial plateau fractures. Strategies Trauma Limb Reconstr. 2011;6(1):21–6.
Mankar SH, et al. Outcome of complex tibial plateau fractures treated with external fixator. Indian J Orthop. 2012;46(5):570–4.
Babis GC, et al. High energy tibial plateau fractures treated with hybrid external fixation. J Orthop Surg Res. 2011;6:35.
Kummer FJ, et al. Biomechanics of the Ilizarov external fixator. Clin Orthop Relat Res. 1992;280:11–4.
Horesh Z, et al. Treatment of complex tibial plateau fracture with Ilizarov external fixation and minimal open surgical procedure. JBJS Br. 2008;90-B pp 514.
Benirschke SK, Agnew SG, Mayo KA, Santoro VM, Henley MB. Immediate internal fixation of open, complex tibial plateau fractures: treatment by a standard protocol. J Orthop Trauma. 1992;6:78–86.
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Lachman, J., Rehman, S. (2016). Tibial Plateau Schatzker V/VI Treated in Ex Fix/Circular Frame. In: Tejwani, N. (eds) Fractures of the Tibia. Springer, Cham. https://doi.org/10.1007/978-3-319-21774-1_6
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DOI: https://doi.org/10.1007/978-3-319-21774-1_6
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-21773-4
Online ISBN: 978-3-319-21774-1
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