Tiba plateau fracture

Question 1

% of central knie apparatus lesions by tibia plateau

Answer 1

50%

Question 2

Dx

Answer 2

Standar X ray
CT almost always
+/- MRI

Question 3

Indication for conservative

Answer 3

undisplaced, stabile fractures

Impression < 2mm step (Schatzker said 10mm)

Question 4

if Fix Ex

Answer 4

MR Safe

Question 5

Schatzker

Answer 5

I pure split
II split depression
III pure depression (A lat, B central)
IV isolated medial
V bicondylar
VI metaphyseal and articular

Question 6

Approaches to the proximal tibia

Answer 6

Anterolateral
- 1cm lateral to midline, recline tibialis anterior

Posteromedial

• over posteromedial border of tibia
• preserve long saphenous nerve and vein
• deep dissection between pes anserinus and medial head of gastrocnemius

Arthroscopy assisted :
- first incision over soft spot : anterolateral with knee flexed

Question 7

Type of implants

Answer 7

PT - LCP 3.5 4.5