[ORT-L] Tibial Plateau Fx - Orthopedics Forum


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[ORT-L] Tibial Plateau Fx

alex at weborto
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Jan 26, 2008, 1:15 PM

Post #1 of 3 (525 views)
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[ORT-L] Tibial Plateau Fx	Can't Post

Dear colleagues,

A lady 40 years old, was injured Jan 02, 2008 in mountain skiing. Just
referred to our unit. Images attached.
What approach would you suggest as optimal for this postero-lateral
fracture? What fixation technique would you prefer?
THX!

___
Best regards,
Alexander N. Chelnokov
Ural Scientific Research Institute
of Traumatology and Orthopaedics
7, Bankovsky str. Ekaterinburg 620014 Russia

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george.s.thomas at gmail
New User

Jan 26, 2008, 7:48 PM

Post #2 of 3 (525 views)
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Re: [ORT-L] Tibial Plateau Fx [In reply to]	Can't Post

In this situation, where the fragment is posterolateral, one needs a
posterior approach, either as described by Timothy Bhatacharya et al in 2005
in JOT, which involves taking down the medial head of the gastrocnemius, or
the Lobenhoffer paper which involves a transfibular approach.
Hope this helps.

On Jan 27, 2008 2:45 AM, Alexander Chelnokov <alex@weborto.net> wrote:

> Dear colleagues,
>
> A lady 40 years old, was injured Jan 02, 2008 in mountain skiing. Just
> referred to our unit. Images attached.
> What approach would you suggest as optimal for this postero-lateral
> fracture? What fixation technique would you prefer?
> THX!
>
> ___
> Best regards,
> Alexander N. Chelnokov
> Ural Scientific Research Institute
> of Traumatology and Orthopaedics
> 7, Bankovsky str. Ekaterinburg 620014 Russia
>
>
>

--
George Thomas,
Orthopaedic Surgeon,
Chennai, India
Editor, Indian Journal of Medical Ethics,
www.issuesinmedicalethics.org
www.ijme.in

danschlatterer at yahoo
New User

Jan 27, 2008, 8:33 AM

Post #3 of 3 (516 views)
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Re: [ORT-L] Tibial Plateau Fx [In reply to]	Can't Post

would anyone consider an anterolateral approach with a sagital osteotomy just lateral to midline?
this would give access to the impacted posterior region. then "backgraft", and fix the osteotomy
fragment with a standard anterolateral plate. thanks.
dan schlatterer

--- George Thomas <george.s.thomas@gmail.com> wrote:

> In this situation, where the fragment is posterolateral, one needs a
> posterior approach, either as described by Timothy Bhatacharya et al in 2005
> in JOT, which involves taking down the medial head of the gastrocnemius, or
> the Lobenhoffer paper which involves a transfibular approach.
> Hope this helps.
>
> On Jan 27, 2008 2:45 AM, Alexander Chelnokov <alex@weborto.net> wrote:
>
> > Dear colleagues,
> >
> > A lady 40 years old, was injured Jan 02, 2008 in mountain skiing. Just
> > referred to our unit. Images attached.
> > What approach would you suggest as optimal for this postero-lateral
> > fracture? What fixation technique would you prefer?
> > THX!
> >
> > ___
> > Best regards,
> > Alexander N. Chelnokov
> > Ural Scientific Research Institute
> > of Traumatology and Orthopaedics
> > 7, Bankovsky str. Ekaterinburg 620014 Russia
> >
> >
> >
>
>
> --
> George Thomas,
> Orthopaedic Surgeon,
> Chennai, India
> Editor, Indian Journal of Medical Ethics,
> www.issuesinmedicalethics.org
> www.ijme.in
>

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