Open Reduction and Internal Fixation of Tibial Plateau Fractures
- Pp. 90-102 (13)Robert Barbin, Sridhar Vijayan, Narlaka Jayasekera and Matthew J Alfredson
Surgical fixation of tibial plateau fractures is technically challenging, carrying significant risks of complications for both patient and surgeon. A detailed understanding of the knee joint, coupled with classification of tibial plateau fractures, allows for accurate pre-operative planning and appropriate patient selection, resulting in the best possible outcome for patients. Open reduction and internal fixation of such fractures is done with the aim of restoring alignment, native articular surface of the knee, preventing early onset osteoarthritis. This chapter will explore the various surgical approaches described when approaching the tibial plateau, outlining the merits and drawbacks of each when undertaking open reduction and internal fixation of tibial plateau fractures.