Why would a surgeon choose an anteromedial approach?
Why would a surgeon choose an anteromedial approach?
The anteromedial approach has the advantage of excellent visualization of the articular surface in the medial and central part, including the entire medial malleolus. To get access to the anterolateral fragment (Tillaux-Chaput), a small, separate, anterolateral incision might be necessary.
What plate and surgical approach is used most commonly for fixation of Pilon fractures?
Once the proper plate location has been determined, the correct surgical approach can be chosen. The 2 most commonly used approaches are antero- medial and anterolateral. Medial plating is best accomplished through the antero- medial approach. The skin incision begins on the lateral side of the tibial crest.
What is the anterolateral tibial plateau?
The anterolateral approach is the mostly used to treat tibial plateau fractures in the clinic. In order to achieve a successful outcome and minimize the risk of complications, the key point is to master the surgical techniques in detail, and protect soft tissue, following the concept of minimally invasive surgery.
What is a proximal tibia fracture?
A fracture, or break, in the shinbone just below the knee is called a proximal tibia fracture. The proximal tibia is the upper portion of the bone where it widens to help form the knee joint.
What happens after tibial plateau fracture surgery?
After tibial plateau fracture surgery you will experience pain, swelling, stiffness and decreased range of movement in your knee. You will also experience a reduction in muscle strength and control in the post operative period.
What is a Bicondylar tibial plateau fracture?
Bicondylar tibial plateau fractures are complex injuries that are frequently difficult to treat. Bicondylar plateau fractures involve some portion of both the medial and lateral articular surfaces, with associated disruption of the articular fragments from the metaphysis.
What is tibial Pilon?
A pilon fracture is a type of break of the shinbone (tibia) that happens near the ankle. Most of the time, it includes breaks in both the tibia and fibula of the lower leg. The lower ends of these bones make up part of the ankle. The term “pilon” comes from the French word for pestle. This is a tool used for crushing.
Can a pilon fracture heal without surgery?
Some pilon fractures do not need surgical treatment. These are typically lower-energy injuries to the tibia and fibula at the ankle joint. The bones are broken but simply shifted out of place and these injuries tend to be less severe. These lower-energy pilon fractures can be treated with a leg cast.
How do you fix a tibial plateau fracture?
The injury is usually fixed with metal plates and screws placed through a large incision. The type of fracture usually dictates what types of incisions and how many plates and screws are needed. Sometimes bone graft or types of bone cement are needed to support the joint surface.
Does proximal tibia fracture require surgery?
Proximal tibia fracture treatment This is rare and typically a tibia is treated with surgery. Your physician may recommend surgery if you have an open fracture or if your fracture is unstable because of displacement or the bone is in many fragments.