When is ORIF with or without bone grafting 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 ORIF with or without bone grafting may be summarized as follows:

  • Indications - Types III, IV, V, and VI fractures without soft-tissue injury
  • Advantages - Allows anatomic reduction with rigid internal fixation and bone grafting; facilitates joint exploration and treatment of intra-articular injuries
  • Disadvantages - Should not be performed in the acute setting in the presence of soft-tissue injury; unnecessary for type I fractures

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