医学
胫骨平台骨折
固定(群体遗传学)
高原(数学)
外科
系列(地层学)
口腔正畸科
内固定
古生物学
地质学
数学分析
人口
环境卫生
数学
作者
Sean T. Campbell,Jeffrey Earhart,Lucas S. Marchand,Kathryn A. Barth,Kathryn A. Barth,William M. Ricci,Michael Githens
标识
DOI:10.1097/bot.0000000000002812
摘要
Tibial plateau fractures with severely displaced articular injuries and significant deformity to the surrounding metaphyseal bone (including the hyperextension varus bicondylar pattern) can be challenging to stabilize due to resulting large bone voids uncontained by metaphyseal cortex. The purpose of this report was to describe a technique to support the plateau articular surface in these cases and report on outcomes of a small series. This technique uses a small or mini fragment plate, contoured to function as an intraosseous shelf plate, with the "shelf" portion inserted into the bone beneath the articular surface to support it. This technique provides fixed-angle support to the fragment. There are some advantages of this technique compared to structural allograft, large volume ceramic bone void filler, a spine cage, or other trabecular metal object, including the ability to remove the plate later, ability to tension the plate against the depressed articular surface, ability to place screws or other allograft near the implant, wide availability of the implant, and familiarity of orthopaedic trauma surgeons with placing plates and screws to hold reductions. The technique is particularly useful in patterns with uncontained articular depression and a large metaphyseal void.
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