![]() Positioning the patient this way for retropatellar IM nailing allows taking AP and lateral radiographs with the image intensifier undisturbed. This AP radiograph of the same tibial plateau fracture shows the nail’s lateral parapatellar entry location in the coronal plane. The patient’s knee at 6 weeks postoperatively indicates how a minimally invasive technique was used (b). The reduction and fixation of the Schatzker type VI tibial plateau fracture with the “nail and bolt” technique is seen in this immediate postoperative radiograph (a). A penetrating awl pinpoints the location of the entry portal on the sagittal level (c). Intraoperative radiographs show the position of the compression bolt (b). Images: Garnavos C This preoperative AP radiograph is of a tibial plateau Schatzker type VI fracture (a). Timing of treatment A Schatzker type I fracture of the tibial plateau is shown 4 weeks after fixation with one percutaneous compression bolt. ![]() ACL and PCL injuries are seen in 35% and 10% of cases, respectively. The latter can occur in up to 80% of these cases. “Fractures that occur in this area are grossly heterogeneous and their prognosis depends on intra-articular involvement and severity, the degree of fracture comminution and extension, the condition of the soft-tissue envelope, osteoporosis and patient’s age and comorbidities,” Garnavos said.Ĭoncurrent problems with proximal tibia fractures include contusion of the soft tissue envelope surrounding the proximal tibia, and ligamentous and meniscal injuries. ISTANBUL - Orthopaedic surgeons should treat proximal tibial fractures individually based on fracture classification, intra-articular involvement and patient factors, based on a presentation by Christos Garnavos, MD, PhD, at the EFORT Congress, here. If you continue to have this issue please contact to Healio ![]()
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