Ki-Chul Park

doi:10.12671/jkfs.2009.22.3.206

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Proximal Tibia Fracture: Plating: Ki-Chul Park, M.D.; Journal of the Korean Fracture Society 2009;22(3):206-213.
DOI: https://doi.org/10.12671/jkfs.2009.22.3.206
Published online: July 31, 2009

Department of Orthopaedic Surgery, Hanyang University Kuri Hospital, Guri, Korea.

Address reprint requests to: Ki-Chul Park, M.D. Department of Orthopaedic Surgery, Hanyang University Kuri Hospital, 249-1, Gyomoon-dong, Guri 471-701, Korea. Tel: 82-31-560-2318, Fax: 82-31-557-8781, kcpark@hanyang.ac.kr

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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REFERENCES

REFERENCES

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2. Boldin C, Fankhauser F, Hofer HP, Szyszkowitz R. Three-year results of proximal tibia fractures treated with the LISS. Clin Orthop Relat Res, 2006;445:222-229.Article
3. Buehler KC, Green J, Woll TS, Duwelius PJ. A technique for intramedullary nailing of proximal third tibia fractures. J Orthop Trauma, 1997;11:218-223.Article
4. Cole PA, Zlowodzki M, Kregor PJ. Treatment of proximal tibia fractures using the less invasive stabilization system: surgical experience and early clinical results in 77 fractures. J Orthop Trauma, 2004;18:528-535.
5. Dunbar RP, Nork SE, Barei DP, Mills WJ. Provisional plating of type III open tibia fractures prior to intramedullary nailing. J Orthop Trauma, 2005;19:412-414.
6. Egol KA, Su E, Tejwani NC, Sims SH, Kummer FJ, Koval KJ. Treatment of complex tibial plateau fractures using the less invasive stabilization system plate: clinical experience and a laboratory comparison with double plating. J Trauma, 2004;57:340-346.
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8. Gosling T, Schandelmaier P, Muller M, Hankemeier S, Wagner M, Krettek C. Single lateral locked screw plating of bicondylar tibial plateau fractures. Clin Orthop Relat Res, 2005;439:207-214.
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Fig. 1

(A) A 62 year-old man had a proximal tibial fracture.

(B) Unicortical plate was applied to prevent malaligment before IM nailing.

(C) After the insertion of a nail, anterior angulation happened with plate pullout (arrow).

Fig. 2

(A) A 49 year-old man sustained proximal tibial fracture. He had severe soft tissue swelling and contusion with fracture blisters.

(B) Two weeks after bridging external fixation, the soft tissue swelling and blisters were subsided.

Fig. 3

(A, B, C, D) Manual traction, distracter, clamps can be used to correct axial alignment (from AO surgery reference).

Fig. 4

(A) Slightly elongated distal incision is useful to avoid damage to the superficial peroneal nerve (arrow).

(B) There is a risk of saphenous nerve injury at proximal medial part (from AO surgery reference).

Fig. 5

Lateral plateau lies slightly higher than the medial joint surface (from AO surgery reference).

Fig. 6

(A, B) A 68 year old man with proximal tibial fracture was treated with percutaneous plating using LCP-PLT on the lateral side.

(C) After operation, good alignment was achieved on coronal and sagittal planes.

(D) The fracture was healed 20 weeks after operation.

Fig. 7

(A, B) A 32 year old man with proximal tibial comminuted fracture was treated with percutaneous plating using LCP-PLT on the lateral side. Large posteromedial fragment of medial condyle was fixed with 6.5 cancellous screw.

(C, D) The fracture was healed without complication.

Fig. 8

(A, B) A 69 year old man sustained proximal tibial open fracture (arrow).

(C) Bridging external fixation was done immediately.

(D, E) After subsidence of swelling, MIPO was done.

(F) LCP-PLT was broken 18 weeks after operation without fracture healing (arrow).

(G) Autogenous iliac bone was grafted with dual plating. The fracture was healed 16 weeks after operation.

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by

Medial Minimally Invasive Percutaneous Plate Osteosynthesis in Proximal Tibial Comminuted Fractures
Jae-Ang Sim, Kwang-Hui Kim, Yong-Seuk Lee, Sang-Jin Lee, Beom-Koo Lee
Journal of the Korean Orthopaedic Association.2014; 49(4): 278. CrossRef
Minimally Invasive Percutaneous Plate Stabilization Using a Medial Locking Plate for Proximal Tibial Fractures - Technical Note -
Jae Ang Sim, Beom Koo Lee, Kwang Hui Kim, Yong Seuk Lee
Journal of the Korean Fracture Society.2013; 26(4): 327. CrossRef

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Proximal Tibia Fracture: Plating

J Korean Fract Soc. 2009;22(3):206-213. Published online July 31, 2009

DOI: https://doi.org/10.12671/jkfs.2009.22.3.206

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Proximal Tibia Fracture: Plating

Fig. 1 (A) A 62 year-old man had a proximal tibial fracture. (B) Unicortical plate was applied to prevent malaligment before IM nailing. (C) After the insertion of a nail, anterior angulation happened with plate pullout (arrow).

Fig. 2 (A) A 49 year-old man sustained proximal tibial fracture. He had severe soft tissue swelling and contusion with fracture blisters. (B) Two weeks after bridging external fixation, the soft tissue swelling and blisters were subsided.

Fig. 3 (A, B, C, D) Manual traction, distracter, clamps can be used to correct axial alignment (from AO surgery reference).

Fig. 4 (A) Slightly elongated distal incision is useful to avoid damage to the superficial peroneal nerve (arrow). (B) There is a risk of saphenous nerve injury at proximal medial part (from AO surgery reference).

Fig. 5 Lateral plateau lies slightly higher than the medial joint surface (from AO surgery reference).

Fig. 6 (A, B) A 68 year old man with proximal tibial fracture was treated with percutaneous plating using LCP-PLT on the lateral side. (C) After operation, good alignment was achieved on coronal and sagittal planes. (D) The fracture was healed 20 weeks after operation.

Fig. 7 (A, B) A 32 year old man with proximal tibial comminuted fracture was treated with percutaneous plating using LCP-PLT on the lateral side. Large posteromedial fragment of medial condyle was fixed with 6.5 cancellous screw. (C, D) The fracture was healed without complication.

Fig. 8 (A, B) A 69 year old man sustained proximal tibial open fracture (arrow). (C) Bridging external fixation was done immediately. (D, E) After subsidence of swelling, MIPO was done. (F) LCP-PLT was broken 18 weeks after operation without fracture healing (arrow). (G) Autogenous iliac bone was grafted with dual plating. The fracture was healed 16 weeks after operation.