Surgical Technique for the Tibial Plateau
The frame configuration is dictated by the fracture pattern and soft tissue injury. Although the exact frame will vary from patient to patient, basic principles can be followed for all Hybrid Fixator frames and are independent of the fracture location (proximal or distal tibia). This section demonstrates the basic principles in the treatment of tibial plateau fractures. Click here for special considerations for distal tibial fractures.
1. Reduce the articular surface
Apply distraction, if required.
The Universal Large Distracter may be used across the knee joint to provide ligamentotaxis and thus aid fracture reduction.
As with any intra-articular injury, precise reduction of the joint surface is of critical importance. This may require a limited open reduction and bone graft.
Screw fixation provides interfragmentary compression after anatomic reduction of the articular surface.
