What's new in the management of complex tibial plateau fractures?

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• 作者：Zinon T. Kokkalis ^{drkokkalis@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Ilias D. Iliopoulos ; Constantinos Pantazis ; Elias Panagiotopoulos ; ^{ecpanagi@med.upatras.gr" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Tibial plateau fracture ; Augmentation ; Minimal invasive technique ; Locking plates
• 刊名：Injury
• 出版年：2016
• 出版时间：June 2016
• 年：2016
• 卷：47
• 期：6
• 页码：1162-1169
• 全文大小：1700 K

文摘

The management of complex tibial plateau fractures is ever evolving. The severity of the injury to the surrounding soft tissues influences the timing and the method of fixation. Minimal invasive techniques continue to dominate our philosophy of reduction and reconstruction whereas augmentation of depressed intra-articular fragments remains an accepted strategy to maintain reduction and prevent secondary collapse. Locking plates, conventional plates and fine wire fixators all have been used successfully with satisfactory outcomes. In this article we report on the latest advances made in the management of these complex injuries.