Initial description of the TEKTONA® technique for tibial plateau depression fractures
Reduction of depressed tibial plateau fractures with TEKTONA® is a percutaneous technique done with fluoroscopy guidance whose aim is to preserve the soft tissues and avoid hemorrhage. The anatomical result is close to that of open reduction with benefits such as reduced pain and early motion. This...
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Veröffentlicht in: | Orthopaedics & traumatology, surgery & research surgery & research, 2022-11, Vol.108 (7), p.103256-103256, Article 103256 |
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creator | Mehdi, Bellil Fteiti, Wadhah Balti, Walid Hadhri, Khaled Kooli, Mondher Ben Salah, Mohamed |
description | Reduction of depressed tibial plateau fractures with TEKTONA® is a percutaneous technique done with fluoroscopy guidance whose aim is to preserve the soft tissues and avoid hemorrhage. The anatomical result is close to that of open reduction with benefits such as reduced pain and early motion. This procedure was first described for vertebral compression fractures but has recently been applied to intra-articular long bone fractures. It consists of reducing depressed fragments with a system of expandable strips mounted on a rigid clamp. Fixation of the reduced fragments is done with cement; percutaneous fixation can be added. This technique is an interesting alternative to standard treatments. Mastery requires good knowledge of the various steps and comprehensive analysis of the depression on CT scan. |
doi_str_mv | 10.1016/j.otsr.2022.103256 |
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The anatomical result is close to that of open reduction with benefits such as reduced pain and early motion. This procedure was first described for vertebral compression fractures but has recently been applied to intra-articular long bone fractures. It consists of reducing depressed fragments with a system of expandable strips mounted on a rigid clamp. Fixation of the reduced fragments is done with cement; percutaneous fixation can be added. This technique is an interesting alternative to standard treatments. Mastery requires good knowledge of the various steps and comprehensive analysis of the depression on CT scan.</description><subject>Depression</subject><subject>Fracture Fixation, Internal - methods</subject><subject>Fractures</subject><subject>Fractures, Compression</subject><subject>Humans</subject><subject>Minimally invasive surgery</subject><subject>Spinal Fractures</subject><subject>Tibial Fractures - diagnostic imaging</subject><subject>Tibial Fractures - surgery</subject><subject>Tibial plateau</subject><subject>Tibioplasty</subject><subject>Treatment Outcome</subject><issn>1877-0568</issn><issn>1877-0568</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kL1OwzAURi0EoqXwAgwoI0uK7TiOI7FUVfkRFV0Kq-U416qrNAm2g8RL8RA8GYlaEBOTr6--88k-CF0SPCWY8JvttAneTSmmtF8kNOVHaExElsU45eL4zzxCZ95vMeacJPQUjZKUklwIPkavj7UNVlVRCV472wbb1FFjorCBaL14Wq-eZ1-fUQC9qe1bB5FpXBRsMRBtpQKoridbB94PoHFKh66_naMToyoPF4dzgl7uFuv5Q7xc3T_OZ8tYM4xDzHPMsMkwMEiVKMtccyNoTlUGWBMoVK6KQjGh0swwMGWpmOaYKFFQkzMCyQRd73tb1_TP80HurNdQVaqGpvOS8oSlVOQM91G6j2rXeO_AyNbZnXIfkmA5-JRbOfiUg0-599lDV4f-rthB-Yv8COwDt_sA9L98t-Ck1xZqDaV1oIMsG_tf_zc0DIjB</recordid><startdate>202211</startdate><enddate>202211</enddate><creator>Mehdi, Bellil</creator><creator>Fteiti, Wadhah</creator><creator>Balti, Walid</creator><creator>Hadhri, Khaled</creator><creator>Kooli, Mondher</creator><creator>Ben Salah, Mohamed</creator><general>Elsevier Masson SAS</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1336-8595</orcidid><orcidid>https://orcid.org/0000-0003-3526-8472</orcidid></search><sort><creationdate>202211</creationdate><title>Initial description of the TEKTONA® technique for tibial plateau depression fractures</title><author>Mehdi, Bellil ; Fteiti, Wadhah ; Balti, Walid ; Hadhri, Khaled ; Kooli, Mondher ; Ben Salah, Mohamed</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c400t-69040f70e4e5a8dd9c6f8292a7e0c1eba9abba48a57f4efdda4c601a8b2f941e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Depression</topic><topic>Fracture Fixation, Internal - methods</topic><topic>Fractures</topic><topic>Fractures, Compression</topic><topic>Humans</topic><topic>Minimally invasive surgery</topic><topic>Spinal Fractures</topic><topic>Tibial Fractures - diagnostic imaging</topic><topic>Tibial Fractures - surgery</topic><topic>Tibial plateau</topic><topic>Tibioplasty</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mehdi, Bellil</creatorcontrib><creatorcontrib>Fteiti, Wadhah</creatorcontrib><creatorcontrib>Balti, Walid</creatorcontrib><creatorcontrib>Hadhri, Khaled</creatorcontrib><creatorcontrib>Kooli, Mondher</creatorcontrib><creatorcontrib>Ben Salah, Mohamed</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Orthopaedics & traumatology, surgery & research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mehdi, Bellil</au><au>Fteiti, Wadhah</au><au>Balti, Walid</au><au>Hadhri, Khaled</au><au>Kooli, Mondher</au><au>Ben Salah, Mohamed</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Initial description of the TEKTONA® technique for tibial plateau depression fractures</atitle><jtitle>Orthopaedics & traumatology, surgery & research</jtitle><addtitle>Orthop Traumatol Surg Res</addtitle><date>2022-11</date><risdate>2022</risdate><volume>108</volume><issue>7</issue><spage>103256</spage><epage>103256</epage><pages>103256-103256</pages><artnum>103256</artnum><issn>1877-0568</issn><eissn>1877-0568</eissn><abstract>Reduction of depressed tibial plateau fractures with TEKTONA® is a percutaneous technique done with fluoroscopy guidance whose aim is to preserve the soft tissues and avoid hemorrhage. The anatomical result is close to that of open reduction with benefits such as reduced pain and early motion. This procedure was first described for vertebral compression fractures but has recently been applied to intra-articular long bone fractures. It consists of reducing depressed fragments with a system of expandable strips mounted on a rigid clamp. Fixation of the reduced fragments is done with cement; percutaneous fixation can be added. This technique is an interesting alternative to standard treatments. Mastery requires good knowledge of the various steps and comprehensive analysis of the depression on CT scan.</abstract><cop>France</cop><pub>Elsevier Masson SAS</pub><pmid>35219886</pmid><doi>10.1016/j.otsr.2022.103256</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0003-1336-8595</orcidid><orcidid>https://orcid.org/0000-0003-3526-8472</orcidid><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; Access via ScienceDirect (Elsevier); EZB-FREE-00999 freely available EZB journals |
subjects | Depression Fracture Fixation, Internal - methods Fractures Fractures, Compression Humans Minimally invasive surgery Spinal Fractures Tibial Fractures - diagnostic imaging Tibial Fractures - surgery Tibial plateau Tibioplasty Treatment Outcome |
title | Initial description of the TEKTONA® technique for tibial plateau depression fractures |
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