Fractures of the tibial plafond

J Lawrence Marsh; Joseph Borrelli Jr; Douglas R Dirschl; Michael S Sirkin

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Journal article

Peer reviewed

Fractures of the tibial plafond

J Lawrence Marsh, Joseph Borrelli Jr, Douglas R Dirschl and Michael S Sirkin

Instructional course lectures, Vol.56, pp.331-352

2007

PMID: 17472318

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Abstract

Tibial plafond fractures comprise a diverse group of articular, metaphyseal, and occasionally diaphyseal injuries and have in common injury to the articular surface of the distal tibia and significant associated soft-tissue injury. Injury to the soft tissues combined with the complex fracture patterns has led to high complication rates from surgical attempts to reduce and stabilize these fractures. Currently, there is a wide range of treatment techniques available for a wide spectrum of injury severity, surgeon experience, and surgeon preferences. Patient outcomes vary widely. Because these injuries are relatively uncommon, the amount of clinical data available to guide treatment decisions is limited. Careful classification and assessment of the fracture pattern and associated soft-tissue injury and an understanding of the principles of modern concepts of treatment should allow the surgeon to choose from among several treatment protocols, all of which emphasize minimizing complications to optimize patient outcomes.

Radiography

Tibial Fractures - epidemiology

Fractures, Comminuted - diagnostic imaging

Humans

Tibial Fractures - diagnostic imaging

Calcaneus - injuries

Treatment Outcome

Soft Tissue Injuries - epidemiology

Tibial Fractures - surgery

Soft Tissue Injuries - classification

External Fixators

Fracture Fixation, Internal

Tibial Fractures - classification

Fractures, Comminuted - surgery

Osteoarthritis - etiology

Details

Title: Subtitle: Fractures of the tibial plafond
Creators: J Lawrence Marsh - Department of Orthopaedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA
Joseph Borrelli Jr
Douglas R Dirschl
Michael S Sirkin
Resource Type: Journal article
Publication Details: Instructional course lectures, Vol.56, pp.331-352
PMID: 17472318
NLM abbreviation: Instr Course Lect
ISSN: 0065-6895
Publisher: United States
Language: English
Date published: 2007
Academic Unit: Orthopedics and Rehabilitation
Record Identifier: 9984040358802771

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