When is percutaneous elevation and screw fixation indicated for tibial plateau fractures, and what are the advantages and disadvantages?

Updated: Jul 05, 2018
  • Author: Srinivasa Vidyadhara, MBBS, DNB, MS(Orth), DNB(Orth), FNB(SpineSurg), MNAMS; Chief Editor: Thomas M DeBerardino, MD  more...
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Answer

Indications, advantages, and disadvantages of percutaneous elevation and screw fixation may be summarized as follows:

  • Indications - Type II and III fractures; bone grafting if severe depression (>10 mm) in osteoporotic bone
  • Advantages - Simple technique with minimal soft-tissue injury
  • Disadvantages - Not useful for high-energy fractures with ligamentous and meniscal injuries

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