27. Intraarticular fractures of the knee and treatment methods

Question 1

What is the anatomy of the femoral articular surface of the tibia?

Answer 1

• Medial plateu:
  -larger
  -concave
• Lateral plateu:
  -smaller
  -convex

Question 2

How can you classify tibial knee joint fractures?

Answer 2

1 → Lateral plateau, split fracture
2 → Lateral plateau, split depression fracture
3 → Lateral plateau, depression fracture
4 → Medial plateau, fracture
5 → Bicondylar plateu fracture
6 → Plateau fracture with seperation of the metaphysis from the diaphysis

Question 3

How can you treat tibial knee joint fractures?

Answer 3

Nonoperative:
* For nondisplaced fracturs and in patients with advanced osteoporosis

Operative:
* Plates, screws
* Ring Sxator
* Autograft (allograft)
* Bone tamp (screwdriver ish thing) can be used to elevate depressed sections