A remarkable pattern of a tibial plateau fracture - use of a safe technique with practical advantages in the surgical field
Bicondylar plateau fractures are complex injuries often requiring a challenging treatment. We report a case of a 68 year-old-male patient with a complicated tibial plateau bicondylar fracture. The fracture of the tibial plateau involved all columns (lateral, medial, posterior). The fracture pattern...
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| Veröffentlicht in: | Acta bio-medica : Atenei Parmensis 2019-05, Vol.90 (2), p.343-347 |
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| container_title | Acta bio-medica : Atenei Parmensis |
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| creator | Touloupakis, Georgios Ghirardelli, Stefano Biancardi, Elena Bibiano, Luigi Antonini, Guido Crippa, Cornelio |
| description | Bicondylar plateau fractures are complex injuries often requiring a challenging treatment. We report a case of a 68 year-old-male patient with a complicated tibial plateau bicondylar fracture. The fracture of the tibial plateau involved all columns (lateral, medial, posterior). The fracture pattern of the proximal tibia managed by triple plating through dual posteromedial and anterolateral incisions. Posterior-medial and the medial plating result in increased stability. The posteromedial approach to the knee that we used in our case, offers various advantages. We recommend the option of the posteromedial access, as an approach that allows excellent control of the posterior involvement of this pattern of tibial plateau fracture. |
| doi_str_mv | 10.23750/abm.v90i2.6661 |
| format | Article |
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We report a case of a 68 year-old-male patient with a complicated tibial plateau bicondylar fracture. The fracture of the tibial plateau involved all columns (lateral, medial, posterior). The fracture pattern of the proximal tibia managed by triple plating through dual posteromedial and anterolateral incisions. Posterior-medial and the medial plating result in increased stability. The posteromedial approach to the knee that we used in our case, offers various advantages. We recommend the option of the posteromedial access, as an approach that allows excellent control of the posterior involvement of this pattern of tibial plateau fracture.</description><identifier>ISSN: 0392-4203</identifier><identifier>EISSN: 2531-6745</identifier><identifier>DOI: 10.23750/abm.v90i2.6661</identifier><identifier>PMID: 31125017</identifier><language>eng</language><publisher>Italy: Mattioli 1885</publisher><subject>Accidents, Traffic ; Aged ; Antibiotic Prophylaxis ; Bone Nails ; Bone Plates ; Case Report ; Fracture Fixation, Internal - instrumentation ; Fracture Fixation, Internal - methods ; Fracture Healing - physiology ; Humans ; Imaging, Three-Dimensional ; Intra-Articular Fractures - diagnostic imaging ; Intra-Articular Fractures - surgery ; Knee Injuries - diagnostic imaging ; Knee Injuries - surgery ; Male ; Menisci, Tibial - diagnostic imaging ; Menisci, Tibial - surgery ; Range of Motion, Articular - physiology ; Risk Assessment ; Tibial Fractures - diagnostic imaging ; Tibial Fractures - surgery ; Tomography, X-Ray Computed - methods ; Treatment Outcome</subject><ispartof>Acta bio-medica : Atenei Parmensis, 2019-05, Vol.90 (2), p.343-347</ispartof><rights>Copyright: © 2019 ACTA BIO MEDICA SOCIETY OF MEDICINE AND NATURAL SCIENCES OF PARMA 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6776223/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6776223/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31125017$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Touloupakis, Georgios</creatorcontrib><creatorcontrib>Ghirardelli, Stefano</creatorcontrib><creatorcontrib>Biancardi, Elena</creatorcontrib><creatorcontrib>Bibiano, Luigi</creatorcontrib><creatorcontrib>Antonini, Guido</creatorcontrib><creatorcontrib>Crippa, Cornelio</creatorcontrib><title>A remarkable pattern of a tibial plateau fracture - use of a safe technique with practical advantages in the surgical field</title><title>Acta bio-medica : Atenei Parmensis</title><addtitle>Acta Biomed</addtitle><description>Bicondylar plateau fractures are complex injuries often requiring a challenging treatment. We report a case of a 68 year-old-male patient with a complicated tibial plateau bicondylar fracture. The fracture of the tibial plateau involved all columns (lateral, medial, posterior). The fracture pattern of the proximal tibia managed by triple plating through dual posteromedial and anterolateral incisions. Posterior-medial and the medial plating result in increased stability. The posteromedial approach to the knee that we used in our case, offers various advantages. We recommend the option of the posteromedial access, as an approach that allows excellent control of the posterior involvement of this pattern of tibial plateau fracture.</description><subject>Accidents, Traffic</subject><subject>Aged</subject><subject>Antibiotic Prophylaxis</subject><subject>Bone Nails</subject><subject>Bone Plates</subject><subject>Case Report</subject><subject>Fracture Fixation, Internal - instrumentation</subject><subject>Fracture Fixation, Internal - methods</subject><subject>Fracture Healing - physiology</subject><subject>Humans</subject><subject>Imaging, Three-Dimensional</subject><subject>Intra-Articular Fractures - diagnostic imaging</subject><subject>Intra-Articular Fractures - surgery</subject><subject>Knee Injuries - diagnostic imaging</subject><subject>Knee Injuries - surgery</subject><subject>Male</subject><subject>Menisci, Tibial - diagnostic imaging</subject><subject>Menisci, Tibial - surgery</subject><subject>Range of Motion, Articular - physiology</subject><subject>Risk Assessment</subject><subject>Tibial Fractures - diagnostic imaging</subject><subject>Tibial Fractures - surgery</subject><subject>Tomography, X-Ray Computed - methods</subject><subject>Treatment Outcome</subject><issn>0392-4203</issn><issn>2531-6745</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkE1Lw0AYhBdRbKk9e5P3D6TuVzbNRSjFLxC86Dm8yb7bLKZp3Gwq4p-3tSp6msPMPDDD2LngM6mylF9iuZ5tc-7lzBgjjthYpkokJtPpMRtzlctES65GbNr3vuSay7kwip-ykRJCplxkY_axgEBrDC9YNgQdxkihhY0DhOhLjw10DUbCAVzAKg6BIIGhp0OkR0cQqapb_zoQvPlYQ7fP-WrXRLvFNuKKevAtxJqgH8Lqy3KeGnvGThw2PU2_dcKeb66flnfJw-Pt_XLxkHRiLmJCpEprUaQOTS5z1DLnGQptXW6NQ3TSWsGdRKx0boxGlHoutc5UZeacKzVhVwduN5RrshW1MWBTdMHvhr8XG_TFf6f1dbHabAuTZUbKPeDiL-C3-XOj-gTZbnkR</recordid><startdate>20190523</startdate><enddate>20190523</enddate><creator>Touloupakis, Georgios</creator><creator>Ghirardelli, Stefano</creator><creator>Biancardi, Elena</creator><creator>Bibiano, Luigi</creator><creator>Antonini, Guido</creator><creator>Crippa, Cornelio</creator><general>Mattioli 1885</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>5PM</scope></search><sort><creationdate>20190523</creationdate><title>A remarkable pattern of a tibial plateau fracture - use of a safe technique with practical advantages in the surgical field</title><author>Touloupakis, Georgios ; Ghirardelli, Stefano ; Biancardi, Elena ; Bibiano, Luigi ; Antonini, Guido ; Crippa, Cornelio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p181t-ee3bdda15fa6929a42907a14df9d6faaf2dd10f2aac49664aa24824473c680033</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Accidents, Traffic</topic><topic>Aged</topic><topic>Antibiotic Prophylaxis</topic><topic>Bone Nails</topic><topic>Bone Plates</topic><topic>Case Report</topic><topic>Fracture Fixation, Internal - instrumentation</topic><topic>Fracture Fixation, Internal - methods</topic><topic>Fracture Healing - physiology</topic><topic>Humans</topic><topic>Imaging, Three-Dimensional</topic><topic>Intra-Articular Fractures - diagnostic imaging</topic><topic>Intra-Articular Fractures - surgery</topic><topic>Knee Injuries - diagnostic imaging</topic><topic>Knee Injuries - surgery</topic><topic>Male</topic><topic>Menisci, Tibial - diagnostic imaging</topic><topic>Menisci, Tibial - surgery</topic><topic>Range of Motion, Articular - physiology</topic><topic>Risk Assessment</topic><topic>Tibial Fractures - diagnostic imaging</topic><topic>Tibial Fractures - surgery</topic><topic>Tomography, X-Ray Computed - methods</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Touloupakis, Georgios</creatorcontrib><creatorcontrib>Ghirardelli, Stefano</creatorcontrib><creatorcontrib>Biancardi, Elena</creatorcontrib><creatorcontrib>Bibiano, Luigi</creatorcontrib><creatorcontrib>Antonini, Guido</creatorcontrib><creatorcontrib>Crippa, Cornelio</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Acta bio-medica : Atenei Parmensis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Touloupakis, Georgios</au><au>Ghirardelli, Stefano</au><au>Biancardi, Elena</au><au>Bibiano, Luigi</au><au>Antonini, Guido</au><au>Crippa, Cornelio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A remarkable pattern of a tibial plateau fracture - use of a safe technique with practical advantages in the surgical field</atitle><jtitle>Acta bio-medica : Atenei Parmensis</jtitle><addtitle>Acta Biomed</addtitle><date>2019-05-23</date><risdate>2019</risdate><volume>90</volume><issue>2</issue><spage>343</spage><epage>347</epage><pages>343-347</pages><issn>0392-4203</issn><eissn>2531-6745</eissn><abstract>Bicondylar plateau fractures are complex injuries often requiring a challenging treatment. We report a case of a 68 year-old-male patient with a complicated tibial plateau bicondylar fracture. The fracture of the tibial plateau involved all columns (lateral, medial, posterior). The fracture pattern of the proximal tibia managed by triple plating through dual posteromedial and anterolateral incisions. Posterior-medial and the medial plating result in increased stability. The posteromedial approach to the knee that we used in our case, offers various advantages. We recommend the option of the posteromedial access, as an approach that allows excellent control of the posterior involvement of this pattern of tibial plateau fracture.</abstract><cop>Italy</cop><pub>Mattioli 1885</pub><pmid>31125017</pmid><doi>10.23750/abm.v90i2.6661</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Acta bio-medica : Atenei Parmensis, 2019-05, Vol.90 (2), p.343-347 |
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| source | PubMed Central Free; MEDLINE; PubMed Central Open Access; EZB-FREE-00999 freely available EZB journals |
| subjects | Accidents, Traffic Aged Antibiotic Prophylaxis Bone Nails Bone Plates Case Report Fracture Fixation, Internal - instrumentation Fracture Fixation, Internal - methods Fracture Healing - physiology Humans Imaging, Three-Dimensional Intra-Articular Fractures - diagnostic imaging Intra-Articular Fractures - surgery Knee Injuries - diagnostic imaging Knee Injuries - surgery Male Menisci, Tibial - diagnostic imaging Menisci, Tibial - surgery Range of Motion, Articular - physiology Risk Assessment Tibial Fractures - diagnostic imaging Tibial Fractures - surgery Tomography, X-Ray Computed - methods Treatment Outcome |
| title | A remarkable pattern of a tibial plateau fracture - use of a safe technique with practical advantages in the surgical field |
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