Editor: Francesco Atzori

The Tibial Plateau Fractures: Diagnosis and Treatment

eBook: US $79 Special Offer (PDF + Printed Copy): US $158
Printed Copy: US $119
Library License: US $316
ISBN: 978-1-68108-242-4 (Print)
ISBN: 978-1-68108-241-7 (Online)
Year of Publication: 2016
DOI: 10.2174/97816810824171160101

Introduction

A break in the proximal part of the tibia or shinbone region results in a Tibial plateau fracture. This type of bone damage results in the impaired motion and stability of the leg and the knee joint. Since this is a critical load-bearing region of the body, patients affected by these fractures have difficulty in carrying their body weight, which can cause major disability. Tibial plateau fractures commonly occur as a result of motor vehicle accidents in younger individuals and as a result of osteoporosis in elderly women. With appropriate medical guidance, patient rehabilitation is possible. This book is a concise handbook on key information about the diagnosis and treatment of Tibial plateau fractures. Chapters in this book cover the epidemiology of these types of bone fractures, diagnostic imaging, surgical treatment options and patient rehabilitation. The book is intended as a primer on Tibial plateau fractures for medical students and novice surgeons who aim to specialize in orthopaedic surgery. Readers will be able to understand how to manage relevant bone fracture cases which they encounter and will learn how to improve patient recovery after surgical procedures.

Preface

The importance of this argument arises from high incidence of tibial plateau fractures, from epidemiology of this kind of fracture (usually young and active people) and from necessity to obtain a good restoration of function.

Tibial plateau fractures are mostly articular fractures. The goal of treatment is restoration of function and fracture fixation must offer enough stability to allow early mobilisation.

Several problems are correlated to this kind of fracture:

  • cutaneous and soft tissue damage are often present, as these fractures often result from high energy trauma
  • diagnosis is sometimes difficult: x-ray, CT scans and MRI can be used without a correct standardization
  • associated lesions of menisci or ligaments can influence the final outcome
  • different procedures are described for tibial plateau fractures: conservative treatment, open reduction and internal fixation, with arthroscopic techniques, with external fixation, using “balloon” indirect reduction, etc.
  • postoperative care is fundamental to obtain a good result, but the timing is not so clear

We think a book clarifying and summarizing anatomy, pathogenesis, diagnosis, treatment and rehabilitation can help all orthopaedics surgeons treating this disabling kind of fracture. Our objective is not to give a definitive answer about treatment choice, but to propose some solutions on the basis of the fracture “personality”.

Francesco Atzori
University of Turin
Italy


&

Luigi Sabatini
University of Turin
Italy


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