Trauma

Question 1

Type of tibial plateau fracture best definitely treated with a dual-plate construct

Answer 1

Bicondylar tibial plateau fractures with posteromedial fragments are best treated with dual plating to provide buttress fixation of both the posteromedial fragment and lateral condyles

Question 2

Adequate resuscitation

Answer 2

• hemodynamically stability
• lactic acid < 4.0 mmol/L
• pH > 7.25
• base excess > -5.5

Question 3

Indication immediate spica cast

Answer 3

in children 6 months to 6 years with less than 2 cm of shortening