Partial proximal tibia fractures

摘要: Partial tibial plateau fractures may occur as a consequence of either valgus or varus trauma combined with rotational and axial compression component.High-energy result in more complex multi-fragmented fracture pattern, which occurs predominantly young people. Conversely, low-energy mechanism lead to pure depression the older population weaker bone density.Pre-operative classification these fractures, by Muller AO, Schatzker novel CT-based methods, helps understand pattern choose surgical approach treatment strategy accordance estimated mineral density individual history each patient.Non-operative be considered for non-displaced intra-articular lateral condyle. Intra-articular joint displacement ⩾ 2 mm, open medial condyle should reduced fixed operatively. Autologous, allogenic synthetic substitutes can used fill defects.A variety minimally invasive approaches, temporary osteotomies techniques (e.g. arthroscopically assisted reduction 'jail-type' screw osteosynthesis) offer range choices are potentially less treatments.Rehabilitation protocols carefully planned according degree stability achieved internal fixation, other patient-specific factors (age, compliance, mobility). To avoid stiffness, early functional mobilisation plays major role rehabilitation. In elderly, impression indicators further screening osteoporosis. Cite this article: EFORT Open Rev 2017;2. DOI: 10.1302/2058-5241.2.160067. Originally published online at www.efortopenreviews.org.