The Tibial Plateau Fractures: Diagnosis and Treatment

Author(s): Daniele Santoro

DOI: 10.2174/9781681082417116010012

Damage Control Orthopaedics and the Role of External Fixation in Tibial Plateau Fractures

Pp: 103-130 (28)

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Abstract

SHS investigation development is considered from the geographical and historical viewpoint. 3 stages are described. Within Stage 1 the work was carried out in the Department of the Institute of Chemical Physics in Chernogolovka where the scientific discovery had been made. At Stage 2 the interest to SHS arose in different cities and towns of the former USSR. Within Stage 3 SHS entered the international scene. Now SHS processes and products are being studied in more than 50 countries.

Abstract

The plateau tibial fracture is a challenging pathology where associated lesions can complicate by far the fracture treatment. External fixation could be a valuable option, both in the emergency stabilization and in the definitive synthesis, especially when general or local patient's conditions demand for a tissue sparing approach. This chapter is divided in two, the first part talks about the indications and the technical rules of the bridging external fixators and the clinical applications of Damage Control Orthopedics (DCO) to tibial plateau fractures. The second part is focused on those complex (because of the soft tissue envelope conditions or the fracture pattern) lesions that could take advantage of a definitive treatment based on the external fixation, more frequently circular. Technical and mechanical characteristics, indications, surgical application, pros and cons of the circular frames are described.

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