Navigation for lower limb alignment during internal fixation of complex tibial-plateau fractures

In complex fractures of the proximal tibial metaphysis and epiphysis, possible adverse outcomes after internal fixation include not only joint surface incongruity, but also lower limb malalignment requiring revision surgery. Navigation has been proven effective for the intraoperative control of lowe...

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Published inOrthopaedics & traumatology, surgery & research Vol. 104; no. 4; pp. 491 - 496
Main Authors Vibert, B., Pailhé, R., Morin, V., Rubens-Duval, B., Saragaglia, D.
Format Journal Article
LanguageEnglish
Published France Elsevier Masson SAS 01.06.2018
Elsevier
Subjects
Internal fixation
Knee
Life Sciences
Navigation
Tibial-plateau fracture
Knee
Internal fixation
Navigation
Tibial-plateau fracture
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Summary:In complex fractures of the proximal tibial metaphysis and epiphysis, possible adverse outcomes after internal fixation include not only joint surface incongruity, but also lower limb malalignment requiring revision surgery. Navigation has been proven effective for the intraoperative control of lower limb alignment during osteotomy and knee arthroplasty. In complex traumatic fractures, temporary fixation by a locking screw plate allows sensor positioning followed by navigation maneuvers to adjust lower limb alignment. If malalignment is found, the construct can be modified economically by altering the diaphyseal fixation without modifying the metaphyseal screws. The objective of this study was to describe the use of navigation in three patients who required internal fixation of tibial-plateau fractures.
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ISSN:1877-0568
1877-0568
DOI:10.1016/j.otsr.2018.03.006