Open Reduction and Internal Fixation Compared with Circular Fixator Application for Bicondylar Tibial Plateau
Fractures
by Jeremy A. Hall, Murray J. Beuerlein, and Michael D. McKee
J Bone Joint Surg AmVolume 91(Supplement 2 Part 1):74-88
March 1, 2009
©2009 by The Journal of Bone and Joint Surgery, Inc.
Jeremy A. Hall et al. J Bone Joint Surg Am 2009;91:74-88
©2009 by The Journal of Bone and Joint Surgery, Inc.
Jeremy A. Hall et al. J Bone Joint Surg Am 2009;91:74-88
©2009 by The Journal of Bone and Joint Surgery, Inc.
A preoperative computed tomography scan clarifies the main fracture lines.
Jeremy A. Hall et al. J Bone Joint Surg Am 2009;91:74-88
©2009 by The Journal of Bone and Joint Surgery, Inc.
Patient positioning.
Jeremy A. Hall et al. J Bone Joint Surg Am 2009;91:74-88
©2009 by The Journal of Bone and Joint Surgery, Inc.
Traction can be applied with use of either manual means, a femoral distractor, or, rarely, a fracture table.
Jeremy A. Hall et al. J Bone Joint Surg Am 2009;91:74-88
©2009 by The Journal of Bone and Joint Surgery, Inc.
Jeremy A. Hall et al. J Bone Joint Surg Am 2009;91:74-88
©2009 by The Journal of Bone and Joint Surgery, Inc.
Jeremy A. Hall et al. J Bone Joint Surg Am 2009;91:74-88
©2009 by The Journal of Bone and Joint Surgery, Inc.
Following reduction of the articular surface, a fracture clamp is applied percutaneously.
Jeremy A. Hall et al. J Bone Joint Surg Am 2009;91:74-88
©2009 by The Journal of Bone and Joint Surgery, Inc.
Initial application of the frame.
Jeremy A. Hall et al. J Bone Joint Surg Am 2009;91:74-88
©2009 by The Journal of Bone and Joint Surgery, Inc.
Wire insertion.
Jeremy A. Hall et al. J Bone Joint Surg Am 2009;91:74-88
©2009 by The Journal of Bone and Joint Surgery, Inc.
Fixation of the wires to the frame.
Jeremy A. Hall et al. J Bone Joint Surg Am 2009;91:74-88
©2009 by The Journal of Bone and Joint Surgery, Inc.
Distal fixation of the fixator.
Jeremy A. Hall et al. J Bone Joint Surg Am 2009;91:74-88
©2009 by The Journal of Bone and Joint Surgery, Inc.
Jeremy A. Hall et al. J Bone Joint Surg Am 2009;91:74-88
©2009 by The Journal of Bone and Joint Surgery, Inc.
Jeremy A. Hall et al. J Bone Joint Surg Am 2009;91:74-88
©2009 by The Journal of Bone and Joint Surgery, Inc.
Jeremy A. Hall et al. J Bone Joint Surg Am 2009;91:74-88
©2009 by The Journal of Bone and Joint Surgery, Inc.
Preoperative radiograph of a displaced bicondylar tibial plateau fracture in a thirty-two-year-old man.
Jeremy A. Hall et al. J Bone Joint Surg Am 2009;91:74-88
©2009 by The Journal of Bone and Joint Surgery, Inc.
Two operative approaches can be used: (1) a single anterior incision (left), which usually involves substantial soft-tissue stripping, or (2) the preferred two-incision approach (right).
Jeremy A. Hall et al. J Bone Joint Surg Am 2009;91:74-88
©2009 by The Journal of Bone and Joint Surgery, Inc.
Jeremy A. Hall et al. J Bone Joint Surg Am 2009;91:74-88
©2009 by The Journal of Bone and Joint Surgery, Inc.
Jeremy A. Hall et al. J Bone Joint Surg Am 2009;91:74-88
©2009 by The Journal of Bone and Joint Surgery, Inc.
Jeremy A. Hall et al. J Bone Joint Surg Am 2009;91:74-88
©2009 by The Journal of Bone and Joint Surgery, Inc.
Jeremy A. Hall et al. J Bone Joint Surg Am 2009;91:74-88
©2009 by The Journal of Bone and Joint Surgery, Inc.
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