Đang chuẩn bị liên kết để tải về tài liệu:
Gãy xương chày

Tiến sĩ Berkson là thường trú, Khoa Phẫu thuật chỉnh hình, Trung tâm Y tế Đại học Rush, Chicago, IL. Tiến sĩ Virkus là Trợ lý Giáo sư, Khoa Phẫu thuật chỉnh hình, Trung tâm Y tế Đại học Rush, và bác sĩ phẫu thuật Tham dự cao cấp, Bệnh viện Cook County, Chicago. Cả Tiến sĩ Berkson cũng không phải bộ phận mà ông là hội viên có nhận được bất cứ | High-Energy Tibial Plateau Fractures Eric M. Berkson MD Walter W. Virkus MD Dr. Berkson is Resident Department of Orthopedic Surgery Rush University Medical Center Chicago IL. Dr. Virkus is Assistant Professor Department of Orthopedic Surgery Rush University Medical Center and Senior Attending Surgeon Cook County Hospital Chicago. Neither Dr. Berkson nor the department with which he is affiliated has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article. Dr. Virkus or the department with which he is affiliated has stock or stock options held in Stryker Corporation. Dr. Virkus or the department with which he is affiliated serves as a consultant to or is an employee of Stryker Corporation. Reprint requests Dr. Virkus Rush University Medical Center 1725 W Harrison Street Suite 440 Chicago IL 60612. J Am Acad Orthop Surg 2006 14 20-31 Copyright 2006 by the American Academy of Orthopaedic Surgeons. Abstract The severity of a tibial plateau fracture and the complexity of its treatment depend on the energy imparted to the limb. Low-energy injuries typically cause unilateral depression-type fractures whereas high-energy injuries can lead to comminuted fractures with significant osseous soft-tissue and neurovascular injury. Evaluation includes appropriate radiographs and careful clinical assessment of the soft-tissue envelope. Treatment is directed at safeguarding tissue vascularity and emphasizes restoration of joint congruity and the mechanical axis of the limb. Temporary jointspanning external fixation facilitates soft-tissue recovery whereas minimally invasive techniques and anatomically contoured plates can limit damage to the soft tissues and provide stable fixation. Alternatively the use of limited internal fixation and definitive external fixation can minimize soft-tissue disruption avoid complications and allow fracture union. Complications including infection loss of .