Tibial plateau fractures make up 1% of all fractures and 8% of fractures in elderly. Intra-articular fractures of the proximal tibia are commonly referred as tibial plateau fractures. Journal of Orthopaedic Trauma17 (5):346-352, May 2003. The epidemiology and management of 151 tibial plateau fractures in patients aged over 60 years of age were reviewed. Two main injury mechanisms exist: - Low energy injuries, often present in elderly, osteoporotic patients after minor trauma 2 Osteoporosis is known to . literature have resulted from high-speed motor vehicle accidents and. Tibial plateau fractures constitute 1% of all bone fractures . Methodology A total of 36 patients with tibial plateau fractures were included in the study. Introduction. Low-energy fractures are commonly seen in older females, due to osteoporotic bone changes, and are typically depressed fractures. ing the posterior and/or posteromedial . 23.1 ). Tibial plateau fractures involve the proximal articular surface of the tibia and have a bimodal incidence, with high-energy trauma in younger patients and low-energy falls in elderly osteoporotic patients. Background: Tibial plateau fractures account for approximately 8% of the fractures of the elderly. Less commonly they can occur in elderly patients following a fall, especially those with osteoporosis. The primary (2003) allowed free weight bearing 6 weeks after surgery when using CPC to supplement internal fixation in tibial plateau fractures. Results from axial load with valgus stress; Cancellous bone of lateral plateau prevents depression in young healthy patients; Type II: lateral plateau, split-depression fracture (most common) This study evaluated involving the medial, posteromedial, or posterior column the clinical and radiological results of patients undergo- (Schatzker type IV, V, and VI) were fixed with the same ing surgery for complex tibial plateau fractures involv- technique using the same single medial midline incision. Depressed tibial plateau fractures can be difficult to treat and current reduction techniques often lead to poor results. In this retrospective study, 49 patients with a mean age of 72 years, who underwent surgical treatment of a tibial plateau fracture, were assessed by the . This study described the characteristics of Functional outcome following tibial plateau fractures is commonly related to the nature and type of associated soft tissue… This study allowed the authors to identify certain patient and fracture variables which influence final outcome: age at the time of injury, gender and fracture morphology [ 30 ]. Tibial plateau fractures are an important group of traumatic pathologies; their high frequency in recent years and the severity of complications present challenges for orthopedists [1, 2].Their reported incidence is approximately 1% of all fractures and 8% of fractures among elderly people [].The term "pilon" was first used in 1911 by the radiologist Étienne Destot to describe . Initial evaluation includes an assessment of the soft tissues and surrounding ligaments. Treatment of tibial plateau fractures in elderly patients must be individualized to the patient and his injury. Tibial Plateau Fracture Background: cult to treat. . The usual mode of injury was a simple fall (88 fractures, 58%). At Background: Tibial plateau fractures are the most common intra-articular fractures, which require careful evaluation and preoperative planning. Background: Tibial plateau fractures are the most common intra-articular fractures, which require careful evaluation and preoperative planning. 1 Obviously, these goals apply to both the younger and the older patient. The incidence of tibial plateau fractures is 10.3 per 100,000 people annually[2]. The purpose of our study was to compare the outcome after minimally invasive reconstruction and internal fixation with and without the use of preand intra . Injuries to the medial meniscus, lateral meniscus, anterior cruciate ligament, posterior cruciate ligament, medial collateral ligament, and lateral collateral ligament were examined with . Current literature suggests that significantly displaced TPFs in the elderly require operative fixation, an operation that is associated with serious complications including septic and post-operative arthritis. They are quite common injuries and represent about 1% of all fractures in adult population. These fractures may be considered compression fractures of the proximal tibia involving the. A tibial plateau fracture in an elderly patient sustained in a fall from standing height generally will be a Grade I injury. More recently in the literature is a group of studies analyzing the success of TKA as a primary treatment of tibial plateau fractures in elderly patients. 1,2 While younger patients predominately suffer traffic accidents, high impact sport injuries, or falls from greater height, elderly patients often mainly suffer simple falls or low velocity traumata resulting in a tibial . Complex tibial plateau fractures (TPFs) represent a significant treatment challenge for any Orthopaedic surgeon. When Schatzker et al. Medial plateau fractures generally result from a high-energy mechanism. The treatment of tibial plateau fractures in elderly patients is challenging, and the comprehension of epidemiology and morphology can be helpful. However, from the age of 40 years and older, both sexes suffer bone loss leading to osteoporosis. More recently in the literature is a group of studies analyzing the success of TKA as a primary treatment of tibial plateau fractures in elderly patients. Tibial plateau fractures in the elderly are complex injuries that represent around 1% of all fractures and 8% of total fractures in persons above 65 years of age [1]. after tibial plateau fracture.9 And with improved life ex-pectancy, incidences of tibial plateau fractures in elderly patientsareprobablyrising.10,11 Morethanhalfofalltibial plateau fractures in the elderly are split-depression frac-tures to the lateral condyle.12 These injuries are classified as type II according to Schatzker13 or as type . Despite the early weight bearing, they reported substantial loss of reduction in only one patient, an elderly man with poor . Low-energy fractures in low-demand patients may best be treated nonoperatively with early mobilization. There were 115 females and 36 males. Tibial plateau fractures in the elderly present a surgical challenge due to poor bone stock, fracture heterogeneity and a high rate of complications [11]. There were 41 patients (average age 54 years) recruited from . In this context, treatment of elderly tibial plateau fractures must be individualized to the patient and their injury. Fractures involving the tibial articular surface account for a little over 1% of all long bone fractures, 56.9% of all proximal tibia fractures/dislocations, and 8% of all fractures in the elderly [1, 2, 3, 4].They have an annual incidence of 10.3 per 100,000 [].The combined incidence of a patient having a tibial plateau fracture with associated polytrauma on admission has . Your tibial plateau supports most of your body weight. The goals of treatment for tibial plateau fractures are restoration of joint congruity, restoration of normal alignment, stabilization of the joint, and prevention of post-traumatic osteoarthrosis. 1. Separate multiple e-mails with a (;). There is a high rate of post-traumatic arthritis following ORIF to treat tibial plateau-comminuted fracture .
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