Proximal Third Tibia Fracture

Question 1

Nonoperative Proximal Third Tibia Fracture

Answer 1

Question 2

What are the Operative optiones for Proximal Third Tibia Fracture

Answer 2

1. external fixation
2. intramedullary nailing
3. percutaneous locking plate

Question 3

disccus the external fixation option in the Proximal Third Tibia Fracture

Answer 3

indications

fractures with extensive soft-tissue compromise

polytrauma

technique

bi-planar and multiplanar pin fixators are useful

Question 4

disccus the IM fixation option in the Proximal Third Tibia Fracture

Answer 4

indications

enough proximal bone to accept two locking screws (5-6 cm)

outcomes

• high rates of malunion with improper techniqu

most common malunion

• valgus
• apex anterior (procurvatum)

Question 5

Surgical Technique IM fixation option in the Proximal Third Tibia Fracture

Answer 5

starting point

1. proximal to the anterior edge of the articular margin
2. just medial to the lateral tibial spine
3. use of a more lateral starting point may decrease valgus deformity
4. use of a medial starting point may create valgus deformity

Question 6

Surgical Technique OF locking screws option in the Proximal Third Tibia Fracture

Answer 6

locking screws

• statically lock proximally and distally for rotational stability
• no indication for dynamic locking acutely
• must use at least two proximal locking screws

Question 7

Complications OF Proximal Third Tibia Fracture

Answer 7