Proximal Tibia Fracture: Plating

Ki-Chul Park

doi:10.12671/jkfs.2009.22.3.206

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Park: Proximal Tibia Fracture: Plating

Review Article

Journal of the Korean Fracture Society 2009; 22(3): 206-213.

Published online: 31 July 2009

DOI: https://doi.org/10.12671/jkfs.2009.22.3.206

Proximal Tibia Fracture: Plating

Ki-Chul Park, M.D.

Department of Orthopaedic Surgery, Hanyang University Kuri Hospital, Guri, Korea.

Address reprint requests to: Ki-Chul Park, M.D. Department of Orthopaedic Surgery, Hanyang University Kuri Hospital, 249-1, Gyomoon-dong, Guri 471-701, Korea. Tel: 82-31-560-2318, Fax: 82-31-557-8781, kcpark@hanyang.ac.kr

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Figures and Tables

Fig. 1

(A) A 62 year-old man had a proximal tibial fracture.

(B) Unicortical plate was applied to prevent malaligment before IM nailing.

(C) After the insertion of a nail, anterior angulation happened with plate pullout (arrow).

Fig. 2

(A) A 49 year-old man sustained proximal tibial fracture. He had severe soft tissue swelling and contusion with fracture blisters.

(B) Two weeks after bridging external fixation, the soft tissue swelling and blisters were subsided.

Fig. 3

(A, B, C, D) Manual traction, distracter, clamps can be used to correct axial alignment (from AO surgery reference).

Fig. 4

(A) Slightly elongated distal incision is useful to avoid damage to the superficial peroneal nerve (arrow).

(B) There is a risk of saphenous nerve injury at proximal medial part (from AO surgery reference).

Fig. 5

Lateral plateau lies slightly higher than the medial joint surface (from AO surgery reference).

Fig. 6

(A, B) A 68 year old man with proximal tibial fracture was treated with percutaneous plating using LCP-PLT on the lateral side.

(C) After operation, good alignment was achieved on coronal and sagittal planes.

(D) The fracture was healed 20 weeks after operation.

Fig. 7

(A, B) A 32 year old man with proximal tibial comminuted fracture was treated with percutaneous plating using LCP-PLT on the lateral side. Large posteromedial fragment of medial condyle was fixed with 6.5 cancellous screw.

(C, D) The fracture was healed without complication.

Fig. 8

(A, B) A 69 year old man sustained proximal tibial open fracture (arrow).

(C) Bridging external fixation was done immediately.

(D, E) After subsidence of swelling, MIPO was done.

(F) LCP-PLT was broken 18 weeks after operation without fracture healing (arrow).

(G) Autogenous iliac bone was grafted with dual plating. The fracture was healed 16 weeks after operation.

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