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Proximal tibial fractures
Book chapter

Proximal tibial fractures

Matthew D Karam and J. Lawrence Marsh
Musculoskeletal Trauma in the Elderly, pp.577-588
CRC Press, 1
2017
DOI: 10.1201/9781315381954-39

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Abstract

The majority of studies on proximal tibia fractures stratify the analysis based upon fracture or type of treatment without assessment of the elderly as a subgroup. Fractures of the tibial plateau represent a diverse and complex group of injuries. There are many different mechanisms of injury with varying degrees of radiographic displacements and associated soft tissue injuries. Associated injuries to the soft tissues, including open wounds, compartment syndrome and vascular injuries, may all be associated with high-energy tibial plateau fractures. The physical exam is important and should be similar to that for other patients with tibial plateau fractures. Nonoperative treatment of tibial plateau fractures may be an option in elderly patients. In conclusion, osteoporosis and osteopenia complicate nearly one-third of tibial plateau fractures. A bicondylar tibial plateau fracture in patients with poor bone stock and significant comminution of the proximal tibia and articular surface may make definitive management with external fixation in the proximal tibia difficult.
 AOFAS Score Articular Reduction ACS NSQIP Proximal Humeral Fracture Coronal CT Image Protected Weight Bearing Non-operative Management Bone Stock Elderly Hip Fracture Patients Limb Alignment AOFAS Tibial Plateau Fractures Total Knee Replacement Elderly Patient Population Metaphyseal Comminution Lateral Radiograph Total Knee Arthroplasty Femoral Neck Fracture Glenohumeral Dislocation External Fixation Proximal Tibia Fractures Calcium Phosphate Cement

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