Tibial Plateau Fracture Flashcards

1
Q

How do tibial plateau fractures occur

A

High energy trauma

Impatient of the femoral condyle

Bone weakness => osteoporosis

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2
Q

what are the clinical features of Tibial plateau fractures

A

History of trauma

Sudden onset pain

Unable to WB

Swelling of the knee ( due to lips-haemarthrosis )

Tenderness over the lateral/medial aspects of the proximal tibia

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3
Q

What are the differential diagnosis

A

knee dislocation, other knee fractures (including patella or distal femur), meniscal injuries, ligamentous injuries, patella dislocation, or patella/quadriceps tendon rupture.

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4
Q

What investigations would you carry out

A

X ray - AP and lateral

CT scans

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5
Q

How are tibial plateau fractures classified

A

Schatzker Classification

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6
Q

Outline the Schatzker Classification

A

Type 1 - lateral spilt fracture

Type 2 - lateral split and depressed fracture

Type 3 - Lateral pure depression fracture (rare)

Type 4 - Medial plateau fracture

Type 5 - bicondylar fracture ( rare )

Type 6 - Metaphyseal – diaphyseal disassociation

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7
Q

what is the conservative management of tibial plateau fractures

A

Hinged knee brace with NWB/PWB for 8-12 weeks

Physio

Analgesia

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8
Q

When is operative management for tibial plateau fractures indicated

A

Open fractures

Compartment fracture

Complicated fracture eg - more than 10 degrees angular deformity ,any metaphyseal-diaphyseal translation, ligamentous injury requiring repair, or those with associated tibial fractures.

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9
Q

What is the operative treatment

A

ORIF

Post op - knee brace for 8-12 weeks

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10
Q

What are the complications of tibial plateau fractures.

A

Post traumatic arthritis

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