Journal of orthopaedic trauma
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To characterize the rate of complications after operative fixation of bicondylar (OTA/AO 41-C) tibial plateau fractures and to evaluate the contribution of common risk factors. ⋯ Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
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As the anterior intrapelvic approach (AIP or modified Stoppa) has become more popular, its utility has evolved to address specific problems that are not well addressed by the ilioinguinal approach. These include anterior column (AC) fractures associated with medialization of the femoral head (protrusio) and impaction of the superomedial acetabular dome. ⋯ This exposure allows access to the impacted dome segment through the displaced AC fracture and wide visualization of the quadrilateral surface, which in turn allows direct reduction and optimal implant placement to neutralize the fracture's deforming forces. The purpose of this article is to discuss the reduction of dome impaction and the quadrilateral surface using the AIP approach.
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This study aimed to evaluate the incidence and morphologic features of posterolateral fragments in lateral and bicondylar tibial plateau fractures. ⋯ Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence.
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To quantify the changes in biomechanical stability conferred by the addition of a single medial blocking screw or a single bicortical interlocking screw to 2 existing distal points of screw fixation in a distal tibial fracture model repaired with intramedullary nailing. ⋯ Results suggest that each of the constructs tested here may be a biomechanically viable option allowing for immediate weight-bearing after fixation of fractures of the distal third of the tibia. The addition of a single bicortical interlocking screw to create 3 points of distal fixation improves construct stiffness while reducing interfragmentary motion relative to 2 interlocking points of screw fixation with or without a blocking screw.