Abstract

DE CICCO, Franco L. et al. Soporte circunferencial posterior en fracturas de platillo tibial. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2021, vol.86, n.2, pp.219-227. ISSN 1852-7434.  http://dx.doi.org/https://doi.org/10.15417/issn.1852-7434.2021.86.2.1018.

Surgical techniques commonly used today for tibial plateau fractures do not properly contemplate multiplanar bone comminution nor the presence of posterior bone fragments. We have faced this problem when treating a patient with a Schatzker VI type fracture, in which the commonly used osteosynthesis, is supplemented with a posterior horizontal circumferential plate. Bone consolidation and good results were achieved in the short term in the case we present. From the analysis of the cited literature, we concluded that several techniques for posterior support of tibial plateau bone comminution have been developed. Among them, circumferential osteosynthesis is a technique to be considered.

Keywords : Tibial fractures; tibial plateau; internal fixation; posteromedial approach.

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