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2013, Number 5

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Rev Med Inst Mex Seguro Soc 2013; 51 (5)

Clinical practice guideline on closed tibial plateau fractures in adulthood

Ocegueda-Sosa MÁ, Valenzuela-Flores AA, Aldaco-García VD, Flores-Aguilar S, Manilla-Lezama N, Pérez-Hernández J

Language: Spanish
References: 23
Page: 592-599
PDF size: 224.75 Kb.


ABSTRACT

The closed tibiae plateau fractures are common injuries in the emergency room. The optimal treatment is not well defi ned or established. For this reason, there are several surgical management options: open reduction and internal fi xation, closed reduction and percutaneous synthesis, external fi xation, and even conservative treatment for this kind of fracture. The mechanism of production of this fracture is through large varus or valgus deformation to which is added a factor of axial load. The trauma may be direct or indirect. The degree of displacement, fragmentation and involvement of soft tissues l ke ligaments, menisci, vascular and nerve structures are determined by the magnitude of the force exerted. Any intra-articular fracture treatment can lead to an erroneous instability, deformity and limitation of motion with subsequent arthritic changes, leading to joint incongruity, limiting activity and signifi cantly altering the quality of life. Open reduction and internal fi xation with anatomic restitution is the method used in this type of fracture. However, the results of numerous publications can be questioned due to the inclusion in the same study of fractures treated with very different methods.


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