Tibial Plateau Fractures in Elderly Patients

Tibial plateau fractures are common in the elderly population following a low-energy mechanism. Initial evaluation includes an assessment of the soft tissues and surrounding ligaments. Most fractures involve articular depression leading to joint incongruity. Treatment of these fractures may be compl...

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Published inGeriatric orthopaedic surgery & rehabilitation Vol. 7; no. 3; pp. 126 - 134
Main Authors Rozell, Joshua C., Vemulapalli, Krishna C., Gary, Joshua L., Donegan, Derek J.
Format Journal Article
LanguageEnglish
Published Los Angeles, CA SAGE Publications 01.09.2016
Sage Publications Ltd
SAGE Publishing
Subjects
Knee
Older people
osteoporosis
tibial plateau fracture
elderly
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Abstract Tibial plateau fractures are common in the elderly population following a low-energy mechanism. Initial evaluation includes an assessment of the soft tissues and surrounding ligaments. Most fractures involve articular depression leading to joint incongruity. Treatment of these fractures may be complicated by osteoporosis, osteoarthritis, and medical comorbidities. Optimal reconstruction should restore the mechanical axis, provide a stable construct for mobilization, and reestablish articular congruity. This is accomplished through a variety of internal or external fixation techniques or with acute arthroplasty. Regardless of the treatment modality, particular focus on preservation and maintenance of the soft tissue envelope is paramount.
AbstractList Tibial plateau fractures are common in the elderly population following a low-energy mechanism. Initial evaluation includes an assessment of the soft tissues and surrounding ligaments. Most fractures involve articular depression leading to joint incongruity. Treatment of these fractures may be complicated by osteoporosis, osteoarthritis, and medical comorbidities. Optimal reconstruction should restore the mechanical axis, provide a stable construct for mobilization, and reestablish articular congruity. This is accomplished through a variety of internal or external fixation techniques or with acute arthroplasty. Regardless of the treatment modality, particular focus on preservation and maintenance of the soft tissue envelope is paramount.
Author Vemulapalli, Krishna C.
Rozell, Joshua C.
Gary, Joshua L.
Donegan, Derek J.
AuthorAffiliation 2 Department of Orthopaedic Surgery, University of Texas Health Science Center at Houston, Houston, TX
1 Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, PA, USA
AuthorAffiliation_xml – name: 1 Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, PA, USA
– name: 2 Department of Orthopaedic Surgery, University of Texas Health Science Center at Houston, Houston, TX
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  givenname: Joshua C.
  surname: Rozell
  fullname: Rozell, Joshua C.
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– sequence: 2
  givenname: Krishna C.
  surname: Vemulapalli
  fullname: Vemulapalli, Krishna C.
– sequence: 3
  givenname: Joshua L.
  surname: Gary
  fullname: Gary, Joshua L.
– sequence: 4
  givenname: Derek J.
  surname: Donegan
  fullname: Donegan, Derek J.
BackLink https://www.ncbi.nlm.nih.gov/pubmed/27551570$$D View this record in MEDLINE/PubMed
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tibial plateau fracture
elderly
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Snippet Tibial plateau fractures are common in the elderly population following a low-energy mechanism. Initial evaluation includes an assessment of the soft tissues...
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StartPage 126
SubjectTerms Knee
Older people
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Title Tibial Plateau Fractures in Elderly Patients
URI https://journals.sagepub.com/doi/full/10.1177/2151458516651310
https://www.ncbi.nlm.nih.gov/pubmed/27551570
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https://pubmed.ncbi.nlm.nih.gov/PMC4976737
https://doaj.org/article/e56f3556388a440fbd62406e7548aefd
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