When is biologic internal fixation indicated for tibial plateau fractures, and what are the advantages and disadvantages?

Updated: Apr 20, 2020
  • Author: Srinivasa Vidyadhara, MBBS, DNB, MS(Orth), DNB(Orth), FNB(SpineSurg), MNAMS; Chief Editor: Thomas M DeBerardino, MD  more...
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Indications, advantages, and disadvantages of biologic internal fixation may be summarized as follows:

  • Indications - Types IV, V, and VI fractures with minimal displacement and comminution; polytrauma patients
  • Advantages - Simple technique with minimal soft-tissue injury; retention of fracture hematoma
  • Disadvantages - Not useful in severely comminuted and depressed fractures

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