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A Journal on Orthopedics and Traumatology

Official Journal of the Piedmontese-Ligurian-Lombard Society of Orthopedics and Traumatology
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Minerva Ortopedica e Traumatologica 2007 October;58(5):393-400

language: English

Tibial plateau fractures. An overview of treatment options

Rademakers M. V. 1, J. Kerkhoffs G. M. M. 1,2, Marti R. K. 3

1 Department of Orthopedic Surgery Academic Medical Center Amsterdam, the Netherlands
2 Kantonsspital, Sankt Gallen, Switzerland
3 Klinik Gut, St. Moritz, Switzerland


Tibial plateau fractures compose about 1% of all fractures. The trauma mechanism resulting in a tibial plateau fracture ranges from a simple fall in elderly patients to fractures resulting from high energy accidents like in sports or traffic. As a result a wide variety of fracture patterns exists, demanding different treatment strategies, ranging from simple closed techniques to technically demanding procedures even to the most experienced trauma surgeons. Treatment concepts aim on restoring anatomical joint congruency, facilitating early exercise with full restoration of knee function. Nowadays, minimal stripping of the soft tissue envelope is used if an operative treatment approach is indicated. The purpose of this report is to give an overview of the current treatment modalities, and expected results.

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