Tibial Plateau Fracture with Central Depression (Anterolateral Approach and Incomplete Osteotomy)

Master the treatment of central depressed tibial plateau fractures. This training offers a technical immersion in osteosynthesis using incomplete osteotomy and specific anterolateral access, presented in 4K video from a surgical perspective, to restore anatomy and joint function.

Training Focus:

• Osteosynthesis of central depressed and incomplete shear tibial plateau fractures.
• Anterolateral "hockey stick" access for wide exposure.
• Incomplete (elastic) osteotomy technique for elevating depressed fragments.
• Use of structural bone graft and fixation with cannulated subchondral screws and plate.
• Management of soft tissues and prevention of complications.

Detailed Content:

• Optimized Surgical Access: Methodology for marking and incision in "hockey stick" style, facilitating joint exploration and aesthetic skin closure.
• Controlled Dissection and Tissue Preservation: Dissection techniques to maintain the integrity of the anterior tibial muscle and fascia, minimizing bleeding and optimizing recovery.
• Meniscus Management and Joint Exposure: Preparation of the meniscus with Vicryl sutures and precise lifting for wide exposure of the depression, ensuring the integrity of the structures.
• Elastic Osteotomy for Anatomical Reduction: An incomplete osteotomy approach that maintains the intact anterolateral cortex, allowing the depressed fragment to be lifted back to its natural position.
• Bone Grafting Strategies: Protocols for filling the depression with granule grafts, including overcorrection for accommodation and resistance, and the use of structural grafts for support.
• Stable Fixation and Subchondral Network: Positioning of guide wires for cannulated subchondral screws, creating a "network" for primary stability, and strategic use of the plate for compression and maintenance of the lift.
• Closure by Layers for Restructuring: Systematic approach for closing soft and bony tissues, restructuring anatomy and optimizing functional and aesthetic outcomes.

Included Material:

• Detailed PDF: Practical summary of the procedure, addressing: fracture condition (tibial plateau with central depression and incomplete shear); anterolateral surgical access in "hockey stick"; detailed preparation and dissection; handling of the meniscus and incomplete (elastic) osteotomy; elevation of the depression and grafting; fixation with cannulated screws and plate; and closure by layers for anatomical and tissue restoration, culminating in anatomical reduction and good stabilization.

Enhance your skills in treating tibial plateau fractures.Sign up now and master the techniques of elastic osteotomy and anterolateral access.