Mastering the treatment of complex tibial plateau fractures is a challenge that demands technical precision and biomechanical understanding. This training offers a technical immersion into the management of tibial plateau fractures with central depression and an incomplete shear fracture line, presented in a video with a focus on the surgical perspective.

Training Focus

• Surgical treatment of tibial plateau fracture with central depression and incomplete shear.
• Meticulous approach to surgical access.
• Technique of incomplete (elastic) osteotomy for lifting the depressed fragment.
• Strategic use of bone graft.
• Fixation with plate and screws for anatomical reduction and stabilization.

Detailed Content

• Optimized Surgical Access: "Hockey stick" incision methodology and subperiosteal dissection for wide visualization and minimization of tissue damage, facilitating closure.
• Early Hemarthrosis Drainage: Technique for optimizing visualization of the surgical field, providing a clean environment for the procedure.
• Incomplete (Elastic) Osteotomy: Learning a technique that preserves the inferior anterolateral cortex, allowing elastic elevation of the fragment without creating a free segment, which simplifies reduction and stabilization.
• Efficient Meniscal Management: Techniques for detaching the meniscus adhered to the bone and using sutures for adequate exposure and efficient capsular repair.
• Expanded Articular Exposure: Varus maneuvers to open the lateral compartment and obtain direct visualization of the depression.
• Precise Depression Elevation: Methodology for uniformly lifting the impacted bone block, with slight overcorrection for graft accommodation and stability, using bimanual control.
• Stable Fixation Strategy: Application of the plate with a screw at a strategic point for initial compression, followed by the insertion of subchondral locked screws, forming an articular support network.
• Anatomical Closure: Closure techniques that maintain the integrity of the tibialis anterior 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 fracture line, addressing access, subperiosteal dissection, elastic osteotomy, meniscal management, exposure and elevation of the depression, techniques of reduction and fixation, 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.