Total knee arthroplasty and fractures of the tibial plateau

查看全文 作　　者：Kenneth A [1]Softness;Ryan S [1]Murray;Brian G [1]Evans

机构地区：[1]Department of Orthopaedic Surgery,Georgetown University Medical Center,Georgetown University School of Medicine

出　　处：《World Journal of Orthopedics》索引2017年第8卷第2期,共8页

摘　　要：Tibial plateau fractures are common injuries that occur in a bimodal age distribution. While there are various treatment options for displaced tibial plateau fractures, the standard of care is open reduction and internal fixation(ORIF). In physiologically young patients with higher demand and better bone quality, ORIF is the preferred method of treating these fractures. However, future total knee arthroplasty(TKA) is a consideration in these patients as post-traumatic osteoarthritis is a common long-term complication of tibial plateau fractures. In older, lower demand patients, ORIF is potentially less favorable for a variety of reasons, namely fixation failure and the need for delayed weight bearing. In some of these patients, TKA can be considered as primary mode of treatment. This paper will review the literature surrounding TKA as both primary treatment and as a salvage measure in patients with fractures of the tibial plateau. The outcomes, complications, techniques and surgical challenges are also discussed. 关键词：ARTHROPLASTY KNEE TIBIA INTRA-ARTICULAR FRACTURES Fracture FIXATION

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Total knee arthroplasty and fractures of the tibial plateau

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