Tibial plateau fractures

Horstmann, W.G., Verheyen, C.C.P.M., Leemans, R. 2003. An injectable calcium phosphate cement as a bone-graft substitute in the treatment of displaced lateral tibial plateau fractures. Injury 34(2), 141-144. 

Lawler LP, Corl FM, Fishman EK (2002) Multi- and single detector CT with 3D volume rendering in tibial plateau fracture imaging and management. Crit Rev Comput To-... 

Fig. 14.8. Types of tibial plateau fractures I, split fracture of the lateral tibial condyle II, split fracture with associated depression III, depressed fracture of the lateral tibial plateau IV, fracture of the medial tibial plateau V, bicondylar fracture (can be T or Y shaped) VI, bicondylar fracture with metaphyseal/diaphyseal association...

Russell TA, Leighton RK. Comparison of autogenous bone graft and endothermic calcium phosphate cement for defect augmentation in tibial plateau fractures. A multicenter, prospective, randomized study. J Bone Joint Surg Am 2008 90(10) 2057-61. 

Bucholz, R. W., Carlton, A., and Holmes, R. 1989. Interporous hydroxyapatite as a bone graft substitute in tibial plateau fractures. Clinical Orthopaedics and Related Research 240 53-62. 

Distal radius for internal- external fixation, cervical fusion, oral and maxillofacial surgery, orthognathic applications, posttraumatic metaphyseal defects Blocks Tibial plateau fractures, pelvis, and femur, acetabulum, pseudarhrosis defects Granules bone cysts in hand, feet, knee, and spine... 

Figure 3.1 Images of orthopedic procedures that currently utilize, or may benefit from use of, polymeric biocomposites, (a) Screw augmentation, (b) tibial plateau fracture, and (c) vertebroplasty.

Hall, J.A., Beuerlein, M.J., Mckee, M.D., 2009. Open reduction and internal fixation compared with circular fixator application for bicondylar tibial plateau fractures. Surgical technique. Journal of Bone and Joint Surgery-American Volume 91A (Suppl. 2 Pt 1), 74-88. 

Simpson, D., Keating, J.R, 2004. Outcome of tibial plateau fractures managed with calcium phosphate cement. Injury-International Journal of the Care of the Injured 35, 913-918. 

Welch, R.D., Zhang, H., and Bronson, D.G. (2003). Experimental tibial plateau fractures augmented with calcium phosphate cement or autologous bone graft. J. Bone Joint Surg. Am. 85 222-31. 

Plain radiographs provide many indications suggestive of acute ACL rupture avulsion fracture of the lateral tibial plateau, or Segond fracture, which is in fact an injury to the lateral joint capsule, avulsion of the Gerdy s tubercle and a lateral notch lesion, which is a compression fracture of the lateral femoral condyle of more than 2 mm seen on lateral radiograph. A tibial rim lesion on the posterolateral lip of the lateral tibial plateau can also be found alone or associated with the lateral notch lesion and is termed a kissing contusion. Joint effusions can also be detected on simple radiographs (Fig. 20.6). 

Furthermore, ACL tears are often associated with injuries to additional structures, such as the medial collateral ligament, meniscal tears, and Segond fracmres, which are capsular avulsion fractures of the lateral tibial plateau, found in 6-13 % of ACL ruptures [27] (Fig. 12.4C). 

Lubowitz JH, Elson WS, Guttmann D (2005) Part II Arthroscopic treatment of tibial plateau fiactures intercondylar aninence avulsion fractures. Arthroscopy 21 86-92. doi 10.1016/j. arthro.2004.09.031... 

Associated signs of ACL injury are common in children and include lipohaemarthrosis (this may indicate bony injury and a tibial avulsion injury should be exduded), contusion in the lateral femoral condyle and posterior tihial plateau, depression within the lateral condylopatellar sulcus (secondary to impaction of the lateral condyle on the tihial plateau) and Segond fractures (Prince et al. 2005). 

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