Tibial plateau fractures: from fixation to long-term outcomes

About this collection

This free collection brings together medpresso materials on tibial plateau fractures in a suggested order: a module from SONA Global and the Harvard Global Orthopaedics Collaborative (HGOC), a scientific article review, a clinical case and two reviews from the guidelines section. The path moves from an overview of the injury and its surgical fixation through bone defect filling and a treated bicondylar fracture to the complications of surgery and the management of knee stiffness. Each item is a separate material on the platform: open it from the list below. Certificates, where available, are issued for each item.

Learning path

Follow the materials in order or open any item directly. The note under each title explains what it adds to the path.

  1. Complex Lower Extremity Trauma – Tibial Plateau Fractures (Module · Free)
    Start here: three video lectures from the SONA Global Complex Lower Extremity Trauma conference (an overview of tibial plateau fractures, medial plateau fractures and minimally invasive fixation), a review of a multicentre study on the Cal-Cemex bone substitute for metaphyseal defects, and a self-assessment test.
  2. Application of Cal-Cemex bone substitute in fractures of the proximal meta-epiphysis of the tibia (Article review · Free)
    Prefer reading? A review of the multicentre study published in the Journal of Orthopaedic Surgery and Research in 2023 (45 displaced fractures, Schatzker types II–VI): after reduction and internal fixation, metaphyseal defects were filled with Cal-Cemex, a hybrid β-TCP and PMMA bone substitute, with clinical, radiographic and CT follow-up to 1 year. It is the same study as the article review in the module.
  3. Tibia proximal metaepiphysis bicondylar fracture (Clinical case · Free)
    The principles applied: a 57-year-old woman with a bicondylar Schatzker type V fracture after a fall on the stairs, treated by open reduction through two approaches, defect filling with Cal-Cemex and two condylar plates, with knee motion from day 1, full weight bearing at 3 weeks and a pain-free knee (range of motion 0–100°) at 20 months.
  4. Complications of the surgical treatment of fractures of the tibial plateau: prevalence, causes, and management (Guideline · Free)
    What can go wrong after surgery: an EFORT Open Reviews 2022 review of knee stiffness, infection, malunion, non-union, post-traumatic osteoarthritis and instability, with the thresholds for correction (joint collapse over 5 mm, malalignment over 5°, tibial slope change over 10°) and when to choose osteotomy or knee arthroplasty.
  5. How to manage a native stiff knee (Guideline · Free)
    Stiffness in detail: an EFORT Open Reviews 2024 review of the native stiff knee, from its definition (total range of motion below 50°) and risk factors, including fractures and previous surgery, to manipulation under anaesthesia, arthroscopic or open release and total knee arthroplasty.

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