ORIF - lag screws with buttress plate
Indication summary: Large fragment, high demand patient
If the fracture is displaced, open reduction internal fixation (ORIF) techniques are necessary.
Beyond 24-48 hours after injury, the fracture hematoma begins to organize. After 48 hours it is necessary to perform an open approach, even in minimally displaced fractures.
It is in poor bone stock, or more vertical fracture planes that a buttress plate is added, in order to enhance stability.
- Lateral sagittal split fractures, with poor bone stock, or more vertical fracture planes
- Patient not medically fit for surgery
- Direct articular surface reduction
- Early mobilization of the knee joint
- Lower risk of osteoarthritis
- Wider surgical exposure
|Basic surgical experience, no specialized skills|
|Some specialized surgical experience|
|Highly experienced and skilled surgeon|
|Basic equipment only|
|Simple surgical and imaging resources|
|Full specialized surgical and imaging resources|