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Fractures of the tibialplateau

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Etiology

auto & moto accidents (70%)

fallings

sport and work trauma

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Mechanism

lateral compresion :

Bistolfi-Hulten

Watson-Jones

axial compresion +/-

lateralized

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Classification

1. unituberozitary (lateral) (40-55%):

split / compression / mixed

2. unituberozitary (medial) (8-10%)

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Classification

3. spinotuberozitary (5-15%) :

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Classification

4. bituberozitary(30%) :

simple : reverseT,V,Ycomplex

plurifragmentar

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Schatzker Classification

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Asociated lesions

Fx. of the fibula

SPE

Femoral fx.

meniscal lesions

ligamentary lesions

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Asociated lesions

Vascular

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Evolution

Malunion

Cronic ligamentary laxity

Knee stiffness

Knee osteoarthritis

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Treatment

Non operative : T E M Apleyde Mourgues

Operative :

split fx. : screwscompression fx. : reduction + graft + screws

mixed fx. : reduction + graft + plate + screws

external fixator

artroscopically controled reduction

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