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

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

Training Focus:

• Osteosynthesis of tibial plateau fractures with central depression and incomplete shear.
• "Hockey stick" anterolateral approach for wide exposure.
• Incomplete (elastic) osteotomy technique for lifting depressed fragments.
• Use of structural bone graft and fixation with subchondral cannulated screws and plate.
• Soft tissue management and prevention of complications.

Detailed Content:

• Optimized Surgical Approach: Methodology for "hockey stick" marking and incision, facilitating joint exploration and aesthetic skin closure.
• Controlled Dissection and Tissue Preservation: Dissection techniques to maintain the integrity of the tibialis anterior muscle and fascia, minimizing bleeding and optimizing recovery.
• Meniscus Management and Joint Exposure: Meniscus preparation with Vicryl sutures and precise lifting for ample exposure of the depression, ensuring the integrity of structures.
• Elastic Osteotomy for Anatomical Reduction: Incomplete osteotomy approach that keeps the anterolateral cortex intact, allowing the depressed fragment to be elevated with natural return to position.
• Bone Grafting Strategies: Protocols for filling the depression with granular graft, including overcorrection for accommodation and strength, and use of structural graft for support.
• Stable Fixation and Subchondral Network: Positioning of guide wires for subchondral cannulated screws, creating a "network" for primary stability, and strategic use of the plate for compression and maintenance of the elevation.
• Layered Closure for Restructuring: Systematic approach for soft tissue and bone closure, 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); "hockey stick" anterolateral surgical approach; detailed preparation and dissection; meniscus handling and incomplete (elastic) osteotomy; depression elevation and grafting; fixation with cannulated screws and plate; and layered closure for anatomical and tissue restoration, culminating in anatomical reduction and good stabilization.

Enhance your skills in the treatment of tibial plateau fractures. Enroll now and master the techniques of elastic osteotomy and anterolateral approach