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This is a medial tibial plateau fracture with a split or depressed component. It is usually the result of a high energy injury and involves a varus force with axial loading at the knee. Represent 10% of all tibial plateau fractures. There is high risk of damage to the popliteal artery and peroneal nerve and therefore carry a worse prognosis.
The bony congruity of the medial knee consists of the opposing surfaces of the medial femoral condyle and the medial tibial plateau. On the medial femoral condyle there are three bony landmarks that are important: the medial epicondyle, adductor tubercle, and gastrocnemius tubercle. The medial epicondyle is the most distal and anterior prominence.
A tib-fib fracture is a fracture of both the tibia and fibula of the same leg in the same incident. In 78% of cases, a fracture of the fibula is associated with a tibial fracture. [6] Since the fibula is smaller and weaker than the tibia, a force strong enough to fracture the tibia often fractures the fibula as well. Types include:
Medial condyle of tibia. ... The medial condyle is the medial (or inner) portion of the upper extremity of tibia. It is the site of insertion for the semimembranosus ...
Open fractures take longer to heal, and infection will delay union. For tibial fractures union is generally achieved after between 3 and 6 months, [3] though time to union can be rather subjective, [4] and the dynamistion process combined with irregular appointments may interfere with these measures.
Patella fracture; Crus fracture. Tibia fracture. Pilon fracture; Tibial plateau fracture; Bumper fracture – a fracture of the lateral tibial plateau caused by a forced valgus applied to the knee; Segond fracture – an avulsion fracture of the lateral tibial condyle; Gosselin fracture – a fractures of the tibial plafond into anterior and ...
The menisci are C-shaped wedges of fibrocartilage located between the tibial plateau and femoral condyles. The menisci contain 70% type I collagen. [11] The larger semilunar medial meniscus is attached more firmly than the loosely fixed, more circular lateral meniscus. The anterior and posterior horns of both menisci are secured to the tibial ...
The procedure is less effective in treating older patients, overweight patients, or a cartilage lesion larger than 2.5 cm. [11] Further on, chances are high that after only 1 or 2 years of the surgery symptoms start to return as the fibrocartilage wears away, forcing the patient to reengage in articular cartilage repair.