Consider complete pathology, surgical techniques for tibial plateau fractures


Surgeons should consider the 3D orientation of tibial plateau fractures before fixation. Understanding the fracture pathology and components is crucial in treatment, including the size and orientation of the fracture, which dictates the location of the medial plate. Methods of articular elevation depend on the degree of comminution and depression, and reducing varus medial column fractures involves specific techniques. Smaller plates are recommended for the posterior column and direct posterior apex location, along with stable tubercle fixation. Overall, surgeons need to carefully analyze the components and aspects of tibial plateau fractures to ensure successful treatment.

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