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Orthopaedics
Proximal Tibia Fractures (AO Based)
Built from AO Surgery Reference: Orthopedic Trauma, Adult Trauma (AO Foundation)
What’s inside
3 sections · 100 slides
Overview
- Introduction
- Proximal tibia fractures: overview
- Anatomy and biomechanics
- Surgical anatomy of the tibial plateau
- Surgical anatomy of the tibial plateau
- Structures at risk around the proximal tibia
- Structures at risk around the proximal tibia
- Safe zones for pins and wires
- Safe zones for pins and wires
- Clinical and radiographic assessment
- Clinical assessment
- Associated injuries by fracture pattern
- Associated injuries by fracture pattern
- Imaging before surgery
- Imaging before surgery
- Intraoperative fluoroscopic views
- Intraoperative fluoroscopic views
- AO/OTA classification
- AO/OTA type A: extraarticular (41A)
- AO/OTA type B: partial articular (41B)
- AO/OTA type B: partial articular (41B)
- AO/OTA type C and the fibular head
- AO/OTA type C and the fibular head
- AO/OTA type tree for the proximal tibia
- Fracture types as drawn by AO
- Fracture types as drawn by AO (cont.)
- Fracture types as drawn by AO (cont.)
- General treatment principles
- Operative versus nonoperative treatment
- Nonoperative treatment in practice
- Nonoperative treatment in practice
- Treatment options shared across groups
- Treatment options shared across groups (cont.)
- Staged treatment of high-energy fractures
- Staged treatment of high-energy fractures
- Avulsion fractures (41A1 and 4F1)
- Treatment options: avulsion fractures
- Treatment options: avulsion fractures (cont.)
- Tibial spine avulsion: fixation
- Tibial spine avulsion: fixation
- Tibial tubercle avulsion: lag screws
- Tibial tubercle avulsion: lag screws
- Fibular head avulsion: repair sequence
- Fibular head avulsion: repair sequence
- Partial articular fractures (41B)
- Lateral plateau fractures
- Lateral plateau fractures
- Medial plateau fractures
- Medial plateau fractures
- Treatment options: partial articular
- Treatment options: partial articular (cont.)
- Decision logic: partial articular fractures
- Decision logic: partial articular fractures
- Split-depression: containment technique
- Split-depression: containment technique
- Containment versus open book technique
- Containment versus open book technique
- Buttress plating of the lateral column
- Buttress plating of the lateral column
- ORIF of medial plateau fractures
- Complete articular fractures (41C)
- Bicondylar fractures: principles
- Bicondylar fractures: principles
- Treatment options: complete articular
- Treatment options: complete articular (cont.)
- Decision logic: bicondylar fixation
- Decision logic: bicondylar fixation
- Reduction sequence: medial plateau fragments
- Reduction sequence: medial plateau fragments
- Conventional versus angular stable plating
- Conventional versus angular stable plating
- Angular stable plating: technique points
- Angular stable plating: technique points
- Extraarticular fractures (41A2, 41A3)
- Extraarticular metaphyseal fractures
- Treatment options: extraarticular fractures
- Treatment options: extraarticular fractures (cont.)
- Nailing proximal tibia fractures
- Nailing proximal tibia fractures
- Suprapatellar nailing: main steps
- Suprapatellar nailing: main steps
Approaches and positioning
- Approaches to the proximal tibia
- Approaches to the proximal tibia
- Anterolateral approach: steps
- Anterolateral approach: steps
- Patient positioning and tourniquet
- Patient positioning and tourniquet
Aftercare and complications
- Aftercare after internal fixation
- Complications and their prevention
- Complications and their prevention
- Take-home messages
- References (1 of 6)
- References (2 of 6)
- References (3 of 6)
- References (4 of 6)
- References (5 of 6)
- References (6 of 6)
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