Executive Editor: Ernst Raaymakers, Joseph Schatzker, Rick Buckley

Authors: Matthias Hansen, Rodrigo Pesantez

Proximal tibia 41-Complete articular fracture, simple articular, multifragmentary metaphyseal

back to skeleton

Glossary

Complete articular fracture, simple articular, multifragmentary metaphyseal

Please select a treatment option:
Treatment Indication summary Skill Equipment
Nonoperative treatment Undisplaced/stable, medical compromise, initial temporary splintage, marked osteoporosis Basic surgical experience, no specialized skills Basic equipment only
Bridging external fixator (temporary) Provisional means of fixation in severely traumatized patients Basic surgical experience, no specialized skills Basic equipment only
Hybrid external fixator (definitive) Severe open fracture Highly experienced and skilled surgeon Full specialized surgical and imaging resources
Ring external fixator (definitive) Severe open fracture Highly experienced and skilled surgeon Full specialized surgical and imaging resources
MIO - Angular stable plate (LISS) Simple articular fractures, osteoporosis, minimal soft-tissue compromise, surgeon's preference Highly experienced and skilled surgeon Full specialized surgical and imaging resources
ORIF - Conventional plates All displaced operable fractures; knee instability, open fractures, compartment syndrome Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Special considerations

Principles of management of open fractures
Infection
Compartment syndrome
*Skill
Basic surgical experience, no specialized skills Basic surgical experience, no specialized skills
Some specialized surgical experience Some specialized surgical experience
Highly experienced and skilled surgeon Highly experienced and skilled surgeon
*Equipment
Basic equipment only Basic equipment only
Simple surgical and imaging resources Simple surgical and imaging resources
Full specialized surgical and imaging resources Full specialized surgical and imaging resources

v2.0 2010-05-15