Tibial Plateau Fracture with Central Depression and Incomplete Osteotomy

Mastering the treatment of complex tibial plateau fractures is a challenge that requires technical precision and biomechanical understanding. This training offers a technical immersion in the management of central depressed tibial plateau fractures with incomplete shear lines, presented in video format with a focus on the surgical perspective.

Training Focus:

• Surgical treatment of central depressed tibial plateau fractures with incomplete shear.
• Meticulous approach to surgical access.
• Incomplete (elastic) osteotomy technique for elevating the depressed fragment.
• Strategic use of bone graft.
• Plate and screw fixation for anatomical reduction and stabilization.

Detailed Content:

• Optimized Surgical Access: Incision methodology in "hockey stick" and precise bone dissection for broad visualization and minimization of tissue damage, facilitating closure.
• Early Drainage of Hemarthrosis: Technique for optimizing the visualization of the surgical field, providing a clean environment for the procedure.
• Incomplete Osteotomy (Elastic): Learning a technique that preserves the anterolateral lower cortex, allowing for elastic lifting of the fragment without creating a loose segment, which simplifies reduction and stabilization.
• Efficient Meniscus Handling: Techniques for disinsertion of the meniscus adhered to the bone and the use of wires for adequate exposure and efficient capsular repair.
• Expanded Joint Exposure: Maneuvers of varus to open the lateral compartment and obtain direct visualization of the depression.
• Precise Depression Elevation: Methodology for uniformly elevating the impacted bone block, with discreet overcorrection for graft accommodation and stability, using bimanual control.
• Stable Fixation Strategy: Application of the plate with screws at a strategic point for initial compression, followed by the insertion of locked screws subchondral, forming a joint support network.
• Anatomical Closure: Closure techniques that maintain the integrity of the anterior tibial muscle and follow anatomical planes, contributing to an aesthetic and functional outcome.

Included Material:

• Detailed PDF: Document summarizing the surgical treatment of lateral tibial plateau fracture with central depression and incomplete shear line, addressing access, proper bone dissection, elastic osteotomy, meniscus handling, exposure and elevation of the depression, reduction and fixation techniques, and surgical closure for an anatomical and functional result.

Enhance your skills in managing complex tibial plateau fractures. Enroll now and master the techniques of elastic osteotomy and stable fixation.