Home > Journals > Minerva Ortopedica e Traumatologica > Past Issues > Minerva Ortopedica e Traumatologica 2007 October;58(5) > Minerva Ortopedica e Traumatologica 2007 October;58(5):379-91

CURRENT ISSUE
 

ARTICLE TOOLS

Reprints

MINERVA ORTOPEDICA E TRAUMATOLOGICA

A Journal on Orthopedics and Traumatology


Official Journal of the Piedmontese-Ligurian-Lombard Society of Orthopedics and Traumatology
Indexed/Abtracted in: EMBASE, Scopus, Emerging Sources Citation Index


eTOC

 

REVIEWS  


Minerva Ortopedica e Traumatologica 2007 October;58(5):379-91

language: English

Fractures of the tibial plafond

Dirschl R. D.

Department of Orthopaedics University of North Carolina School of Medicine Chapel Hill, NC, USA


PDF  


Fractures of the tibial plafond are severe, high energy injuries; successful management of these injuries requires particular attention to the soft tissue injury. Failure to carefully manage the soft tissue injury will lead to a high rate of wound complications, deep infections, and even amputation. Treatment techniques for the tibial plafond fracture have changed considerably over the years, primarily due to the high rates and severe consequences of complications following immediate open reduction and internal fixation. Modern treatment techniques involve a period of spanning external fixation, followed by delayed internal fixation with or without continuation of the external fixator. There is as yet no conclusive evidence in the literature as to whether internal fixation with removal of the external fixator or limited internal fixation with continuation of the external fixator gives superior results. It is possible that outcomes may depend on factors beyond the surgeon’s control, such as the extent of soft tissue injury, the extent of articular cartilage damage, or patient related factors.

top of page

Publication History

Cite this article as

Corresponding author e-mail