Triple plating of tibia in a complex bicondylar tibial plateau fracture  

作　　者：Atin Jaiswal Naiman Deepak Kachchhap Yashwant S Tanwar Birendra Kumar Sachin K Yadav 

机构地区：[1]Department of Orthopaedics, Bokaro GeneralHospital, Bokaro, India [2]Department of Orthopaedics, Postgraduate Instituteof Medical Education & Research and Dr. Ram ManoharLohia Hospital, New Delhi, India

出　　处：《Chinese Journal of Traumatology》2014年第3期183-186,共4页中华创伤杂志（英文版）

摘　　要：High-energy tibial plateau fracture poses a significant challenge and difficulty for orthopaedic surgeons. Fracture of tibial plateau involves major weight bearing joint and may alter knee kinematics. Anatomic reconstruction of the proximal tibial articular surfaces, restoration of the limb axis （limb alignment） and stable fixation permitting early joint motion are the goals of the treatment. In cases of complex bicondylar tibial plateau fractures, isolated lateral plating is frequently associated with varus malalignment and better results have been obtained with bilateral plating through dual incisions. However sometimes a complex type of bicondylar tibialplateau fractures is encountered in which medial plateau has a biplaner fracture in posterior coronal plane as well as sagittal plane. In such fractures it is imperative to fix the medial plateau with buttressing in both planes. One such fracture pattern of the proximal tibia managed by triple plating through dual posteromedial and anterolateral incisions is discussed in this case report with emphasis on mechanisms of this type of injury, surgical approach and management.

关 键 词：Tibial fractures Bone plates KNEE 

分 类 号：R687.3[医药卫生—骨科学]