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The Journal of Bone and Joint Surgery (American) 84:S109-S115 (2002)
© 2002 The Journal of Bone and Joint Surgery, Inc.

Scientific Exhibits

Combined Percutaneous Internal and External Fixation of Type-C Tibial Plafond Fractures

A Review of Twenty-two Cases

Mario Manca, MD, Stefano Marchetti, MD, Giuseppe Restuccia, MD, Alessandro Faldini, MD, Cesare Faldini, MD and Sandro Giannini, MD


Corresponding Author: Cesare Faldini, MD
Istituto Ortopedico Rizzoli, Orthpaedic Department, University of Bologna, Via G.C. Pupilli 1, Bologna 40136, Italy. E-mail address: cesare.faldini@ior.it

The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.

The first 150 words of the full text of this article appear below.


   Introduction
 
Type-C tibial plafond fractures are a challenge in trauma surgery 1-4 . They are usually caused by high-energy trauma and are frequently associated with marked soft-tissue damage 5 . Treatment is sometimes complicated by the presence of other injuries 6 .

Treatment Options
Conservative treatment of these fractures with traction, bracing, and immobilization in a cast rarely permits accurate reconstruction of fibular length and reduction of the articular surface of the tibial plafond. In type-C tibial plafond fractures, it is necessary to restore fibular length, anatomically reduce the articular part of the fracture to minimize the risk of secondary arthritis, and provide stable articular and metaphyseal fixation to promote fracture-healing 3,7 . These goals should be achieved with a technique that is as minimally invasive as possible. Open reduction and internal fixation with plates and screws, as introduced by Ruedi and Allgower 3 , and reported by several other authors to have provided good results 1,8,9 , permits . . . [Full Text of this Article]


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