Abstract
High-energy proximal tibial fractures are complex injuries with significant associated soft-tissue damage. There is a high percentage of open injuries, compartment syndrome, and vascular injuries in patients with these fractures. These patients usually have significant articular depression, excessive comminution, condylar displacement, and metadiaphyseal extension of the fracture. Management of these complex injuries requires treatment of the soft tissues and bony components. Surgical treatment of these injuries traditionally has been associated with substantial complications such as infection, knee stiffness, malunion, loss of fixation, soft-tissue failure, and amputations. Staged treatment, with initial application of a spanning external fixator followed by definitive fixation, has been used in recent years to decrease the risk and rate of complications. Definitive fixation may be performed using traditional open approaches or percutaneously or an external fixator may be used. Development of a protocol for treating these injuries must be done to allow optimal fracture and patient outcomes.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 367-379 |
| Number of pages | 13 |
| Journal | Instructional course lectures |
| Volume | 55 |
| State | Published - 2006 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Medicine(all)
Cite this
High-energy proximal tibial fractures : treatment options and decision making. / Tejwani, Nirmal C.; Hak, David J.; Finkemeier, Christopher Glenn; Wolinsky, Philip R.
In: Instructional course lectures, Vol. 55, 2006, p. 367-379.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - High-energy proximal tibial fractures
T2 - treatment options and decision making.
AU - Tejwani, Nirmal C.
AU - Hak, David J.
AU - Finkemeier, Christopher Glenn
AU - Wolinsky, Philip R
PY - 2006
Y1 - 2006
N2 - High-energy proximal tibial fractures are complex injuries with significant associated soft-tissue damage. There is a high percentage of open injuries, compartment syndrome, and vascular injuries in patients with these fractures. These patients usually have significant articular depression, excessive comminution, condylar displacement, and metadiaphyseal extension of the fracture. Management of these complex injuries requires treatment of the soft tissues and bony components. Surgical treatment of these injuries traditionally has been associated with substantial complications such as infection, knee stiffness, malunion, loss of fixation, soft-tissue failure, and amputations. Staged treatment, with initial application of a spanning external fixator followed by definitive fixation, has been used in recent years to decrease the risk and rate of complications. Definitive fixation may be performed using traditional open approaches or percutaneously or an external fixator may be used. Development of a protocol for treating these injuries must be done to allow optimal fracture and patient outcomes.
AB - High-energy proximal tibial fractures are complex injuries with significant associated soft-tissue damage. There is a high percentage of open injuries, compartment syndrome, and vascular injuries in patients with these fractures. These patients usually have significant articular depression, excessive comminution, condylar displacement, and metadiaphyseal extension of the fracture. Management of these complex injuries requires treatment of the soft tissues and bony components. Surgical treatment of these injuries traditionally has been associated with substantial complications such as infection, knee stiffness, malunion, loss of fixation, soft-tissue failure, and amputations. Staged treatment, with initial application of a spanning external fixator followed by definitive fixation, has been used in recent years to decrease the risk and rate of complications. Definitive fixation may be performed using traditional open approaches or percutaneously or an external fixator may be used. Development of a protocol for treating these injuries must be done to allow optimal fracture and patient outcomes.
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UR - http://www.scopus.com/inward/citedby.url?scp=35349003960&partnerID=8YFLogxK
M3 - Article
C2 - 16958472
AN - SCOPUS:35349003960
VL - 55
SP - 367
EP - 379
JO - Instructional course lectures
JF - Instructional course lectures
SN - 0065-6895
ER -