Academic literature on the topic 'Tibial plateau fracture'

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Journal articles on the topic "Tibial plateau fracture"

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Rudran, Branavan, Christopher Little, Anatole Wiik, and Kartik Logishetty. "Tibial plateau fracture: anatomy, diagnosis and management." British Journal of Hospital Medicine 81, no. 10 (October 2, 2020): 1–9. http://dx.doi.org/10.12968/hmed.2020.0339.

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Tibial plateau fractures are peri-articular knee fractures of the proximal tibia. The presentation is dependent on the mechanism of injury. The tibial plateau is the bony platform of the distal half of the knee joint, and is made up of a medial and lateral condyle separated by the intercondylar eminence. The presentation of tibial plateau fractures can vary greatly as a result of the bimodal mechanism of injury and patient characteristics. The patient should be assessed for life- and limb-threatening injuries in accordance with British Orthopaedic Association Standards of Trauma guidelines. Imaging is undertaken to understand configuration of the fracture, which is classified by the Schatzker classification. Definitive management of the fracture depends on the severity, ranging from conservative to surgical management. Surgery is required for more severe tibial plateau fractures to restore articular congruity, mechanical alignment, ligamentous stability and to permit early mobilisation. Medium-term functional outcome after tibial plateau fractures is generally excellent when anatomy and stability is restored. At least half of patients return to their original level of physical activity. Surgical management of tibial plateau fractures is not without complication. Risk factors include postoperative arthritis, bicondylar and comminuted fractures, meniscal removal, instability, malalignment and articular incongruity. Tibial plateau fractures account for 1% of all fractures, and typically occur either as a fragility fracture or secondary to a high-energy impact. These latter injuries are associated with extensive soft tissue injury, life- and limb-threatening complications and long-term sequelae. While outcomes are generally good, severe injuries are at higher risk of infection and post-traumatic arthritis requiring knee arthroplasty. This article considers the anatomy, diagnosis and evidence-based management strategies for tibial plateau fracture.
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Walia, Palak, and Amna Diwan. "Lateral Tibial Plateau with Peroneal Nerve Entrapment is Unique Fracture in Diagnosis and Management." Orthopedics Research and Traumatology – Open Journal 5, no. 1 (December 19, 2020): 17–20. http://dx.doi.org/10.17140/ortoj-5-119.

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A majority of tibial plateau fractures involve the lateral plateau. Posterolateral tibial plateau fractures are caused by a valgus force that impacts the posterolateral plateau against the lateral femoral condyle. We describe a unique case of a patient who sustained a lateral plateau fracture with posterior displacement behind a fractured fibular head, with entrapment of the peroneal nerve. This unusual fracture pattern required dual anterolateral and lateral approach for reduction and fixation.
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Picavet, Pierre P., Bernard Bouvy, Martin Hamon, Michael Lefebvre, and Marc Balligand. "Use of Epiphysiodesis as Treatment for a Proximal Physeal Tibial Fracture in a Dog." VCOT Open 02, no. 01 (January 2019): e55-e59. http://dx.doi.org/10.1055/s-0039-1692170.

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Objective The aim of this study was to describe the use of epiphysiodesis by the means of a screw to treat a proximal tibial Salter–Harris II fracture associated with a tibial tuberosity avulsion in a 4.5-month-old Airedale Terrier. Study design A healing proximal tibial epiphyseal fracture was observed after a 10-day period. Tibial plateau angle was 40°. The fracture was treated by the insertion of a fluoroscopy-guided 3.5-mm cancellous screw. Results Successful healing of fractures and levelling of tibia plateau were obtained. Final tibial plateau angle was 8°. At long-term follow-up (18 months), owners reported sustained and full functional recovery. Conclusion Prior to ossification of the proximal tibial physis, epiphysiodesis with a screw can be used as a treatment of sub-acute, moderately displaced, Salter–Harris I or II fractures.
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Samsami, Shabnam, Robert Pätzold, Martin Winkler, Sven Herrmann, and Peter Augat. "The effect of coronal splits on the structural stability of bi-condylar tibial plateau fractures: a biomechanical investigation." Archives of Orthopaedic and Trauma Surgery 140, no. 11 (March 26, 2020): 1719–30. http://dx.doi.org/10.1007/s00402-020-03412-8.

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Abstract Introduction Surgical treatment of bi-condylar tibial plateau fractures is still challenging due to the complexity of the fracture and the difficult surgical approach. Coronal fracture lines are associated with a high risk of fixation failure. However, previous biomechanical studies and fracture classifications have disregarded coronal fracture lines. Materials and methods This study aimed to develop a clinically relevant fracture model (Fracture C) and compare its mechanical behavior with the traditional Horwitz model (Fracture H). Twelve samples of fourth-generation tibia Sawbones were utilized to realize two fracture models with (Fracture C) or without (Fracture H) a coronal fracture line and both fixed with lateral locking plates. Loading of the tibial plateau was introduced through artificial femur condyles to cyclically load the fracture constructs until failure. Stiffness, fracture gap movements, failure loads as well as relative displacements and rotations of fracture fragments were measured. Results The presence of a coronal fracture line reduced fracture construct stiffness by 43% (p = 0.013) and decreased the failure load by 38% from 593 ± 159 to 368 ± 63 N (p = 0.016). Largest displacements were observed at the medial aspect between the tibial plateau and the tibial shaft in the longitudinal direction. Again, the presence of the coronal fracture line reduced the stability of the fragments and created increased joint incongruities. Conclusions Coronal articular fracture lines substantially affect the mechanical response of tibia implant structures specifically on the medial side. With this in mind, utilizing a clinically relevant fracture model for biomechanical evaluations regarding bi-condylar tibial plateau fractures is strongly recommended.
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Arvanitakis, Alexandra V., Kerry C. Mian, Raymond Kreienkamp, and Charles E. Rhoades. "Tibial Plateau Fracture Following Low Energy Fall in the Rocky Mountains." Kansas Journal of Medicine 12, no. 3 (August 21, 2019): 91–93. http://dx.doi.org/10.17161/kjm.v12i3.11800.

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Tibial plateau fractures are debilitating injuries. They can occurin younger individuals who sustain a high energy trauma or, withincreasing age, lesser degrees of trauma and underlying bone pathology such as osteoporosis, metabolic bone disease, and malignancy.1Outside these cases, tibial plateau fractures are relatively uncommon.However, these fractures can occur in healthy patients who have sustained direct trauma to the knee.Fractures of the tibial plateau often are classified according to theSchatzker or AO classification systems.2,3 These systems evaluate theinvolvement of both the medial and lateral plateaus, degree of comminution, extension into the joint, and displacement (both articularsurfaces and the relationship of the diaphysis to the metaphysis).Most tibial plateau fractures occur in the lateral aspect of the tibialplateau.1 The increased frequency of lateral fractures is due to themedial tibial plateau being able to resist higher weight-bearing loaddue to the presence of more cancellous bone. More importantly, thelateral plateau has more articular surface exposed during extensioncompared to the medial plateau, which increases likelihood of injury.4The standard of care for most displaced tibial plateau fracturesis surgical management with open reduction and internal fixation(ORIF).5 Conservative management, such as leg bracing, is an optionfor fractures that are nondisplaced or in patients too fragile for surgical intervention. In the senior population, a total knee arthroplasty(TKA) is a less common option. Tibial plateau fractures, particularlymedial tibial plateau fractures, caused by direct trauma in the elderly,non-osteoporotic population are uncommon.We present the case of an active male without overt risk for severefracture (10-year fracture risk of 10% via FRAX score) who wasworking to repair a trail in the Rocky Mountains. While other injurieswere more likely given the mechanism of injury and patient risk, thiscase highlighted the importance of considering tibial plateau fracture,even in atypical settings without significant risk. Improved awarenessof this mechanism of injury will lead to more accurate diagnosis andgreater post-injury management.
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Jiang, Liangjun, Haobo Wu, and Shigui Yan. "Two Cases of Contact Anterior Cruciate Ligament Rupture Combined with a Posterolateral Tibial Plateau Fracture." Case Reports in Orthopedics 2015 (2015): 1–5. http://dx.doi.org/10.1155/2015/250487.

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Background.The combined occurrence of ACL rupture with a posterolateral tibial plateau fracture has not yet been reported. Two cases of such injuries have been treated in our department for the past three years.Findings.The two patients both suffered injuries from traffic accidents. The radiological examinations showed a ruptured ACL with fracture of the posterolateral tibial plateau. Reconstruction of the ACL was performed via a standard anatomical single bundle ACL reconstruction technique with autologous tendon by arthroscopy. A posterolateral tibia plateau approach was used to reduce and fix the fractured area with the aid of lag screws. After a one-year follow-up, the two patients recovered well and physical examinations showed full knee range of motion with no evidence of ACL instability.Conclusions.The cause of this type injury of ACL rupture with a posterolateral tibial plateau fracture was thought to be by a violent internal tibial rotation/anterior tibial translation without any valgus or varus knee force mechanism during the accident. Satisfactory clinical results were achieved with a standard anatomical single bundle ACL reconstruction by arthroscopy and ORIF for the posterolateral plateau fracture. Both patients reported excellent knee function and fracture healing.
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Taylor, Shea K., Andrew Sephian, and Timothy Clader. "Intraoperative tibial plateau fracture during bone preparation in a cruciate retaining primary total knee arthroplasty." BMJ Case Reports 13, no. 9 (September 2020): e233826. http://dx.doi.org/10.1136/bcr-2019-233826.

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Intraoperative fractures are a rare complication in total knee arthroplasty. Limited literature exists in regard to the incidence, mechanism of injury and management of intraoperative fractures. The authors report a unique case of an 80-year-old man who sustained a medial tibial plateau fracture that occurred intraoperatively during final tibia bone preparation with the use of the Woolley Tibia Punch (Innomed, Savannah, Georgia, USA). The fracture was managed with the addition of 4.5 mm cortical lag screws and the addition of a stemmed tibial implant to bypass the fracture. This is the first reported case in literature that describes an intraoperative medial tibial plateau that occurred through the use of a Woolley Tibia Punch. The authors recommend the consideration of drilling to prepare sclerotic bone for cement penetration rather than a punch in order to minimise the potential for intraoperative fractures that may occur with the use of a punch.
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Kamineni, Srinath. "Tibial Plateau Fracture." Orthopedics 25, no. 8 (August 2002): 858–59. http://dx.doi.org/10.3928/0147-7447-20020801-18.

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Graham, Patrick. "Tibial Plateau Fracture." Orthopaedic Nursing 36, no. 4 (2017): 303–5. http://dx.doi.org/10.1097/nor.0000000000000373.

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Koya, Harikrishna, Kalyan Kumar, T. Upendra, Riyaz Sheik, and K. Satya Kumar. "FUNCTIONAL OUTCOME OF COMMINUTED PROXIMAL TIBIAL FRACTURE TREATED BY LOCKING PLATE." International Journal of Research -GRANTHAALAYAH 8, no. 11 (December 8, 2020): 227–36. http://dx.doi.org/10.29121/granthaalayah.v8.i11.2020.2440.

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Most common intraarticular fractures in knee joint are tibial plateau fractures result from indirect coronal or axial compression forces. Tibial plateau fractures constitute 1% of all fractures in the human body and 8% fractures in the older people (1). Tibial plateau fractures include varied configuration of fracture pattern involving of medial condyle (10-23%), lateral condyle (55-70%), in both (11-30%) with variable articular depression. Improper restoration of plateau fracture fragments leads to axis deviation and deformity and premature.
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Dissertations / Theses on the topic "Tibial plateau fracture"

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RENAUD, CHRISTIAN. "Fractures des plateaux tibiaux recentes chez l'adulte : a propos de 124 cas." Amiens, 1990. http://www.theses.fr/1990AMIEM013.

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Veaux, Philippe. "Traitement chirurgical à foyer fermé sous contrôle arthroscopique des fractures des plateaux tibiaux : à propos de 20 dossiers." Bordeaux 2, 1990. http://www.theses.fr/1990BOR25073.

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Samsami, Shabnam [Verfasser], and Peter [Akademischer Betreuer] Müller. "Fracture fixation of complex tibial plateau fractures / Shabnam Samsami ; Betreuer: Peter Müller." München : Universitätsbibliothek der Ludwig-Maximilians-Universität, 2021. http://d-nb.info/1234389134/34.

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Carrera, Fernandez Ion. "Investigación de la biomecánica y mecanobiología de las fracturas de la meseta tibial mediante un modelo de elementos finitos." Doctoral thesis, Universitat Autònoma de Barcelona, 2017. http://hdl.handle.net/10803/456315.

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Las fracturas de la meseta tibial afectan a una gran articulación de carga como es la rodilla y son lesiones graves que conducen frecuentemente a anomalías funcionales. Para preservar la función normal de la rodilla, se debe mantener la congruencia articular, conservar el eje mecánico normal, asegurar la estabilidad de la fractura y recuperar el rango de movilidad completo. Alcanzar estos objetivos presenta dificultades por la importante afectación de tejidos blandos, los distintos tipos de calidad ósea y, en ocasiones, la presencia de comorbilidades de los pacientes. El mecanismo de lesión principal que da lugar a las fracturas de la meseta tibial es una tensión en varo o valgo con una carga axial asociada. La meseta lateral resulta afectada en el 55%-70% de los casos, mientras que la medial se ve afectada en el 10%-30%. Todavía no existe una práctica totalmente estandarizada en las fracturas de la meseta tibial debido a la falta de estudios biomecánicos concluyentes, y coexisten diferentes técnicas usadas para el tratamiento de estas fracturas. Tener un mejor conocimiento biomecánico de las fracturas de la meseta tibial y comparar los tratamientos más utilizados ha sido uno de los objetivos principales de esta investigación para intentar dar respuesta a la pregunta de cuál es el mejor método para tratarlas. La base de esta investigación ha sido el uso del método de elementos finitos (EF) para el estudio de las fracturas de meseta tibial y sus tratamientos. Este método consiste en subdividir geometrías complejas en un ensamblado discreto de elementos de geometría sencilla en los que los desplazamientos relativos de puntos pueden ser fácilmente calculados en función de las cargas que se ejercen sobre el elemento. Según la dimensión del problema, estos elementos podrán ser líneas (1D), triángulos o cuadrados (2D), o tetraedros o hexaedros (3D). Los desplazamientos relativos de puntos calculados dentro de los elementos están asociados a valores de tensiones vía la introducción de ecuaciones de comportamiento para el material del elemento virtualmente constituido. El objetivo del primer trabajo (Fixation of a split fracture of the lateral tibial plateau with a locking screw plate instead of cannulated screws would allow early weight bearing: a computational exploration) fue evaluar con cálculos de EF si la carga inmediata de peso sería posible tras la estabilización quirúrgica, ya sea con tornillos canulados o con una placa bloqueada en una fractura de la meseta tibial lateral. El segundo trabajo (An intact fibula may contribute to allow early weight-bearing in surgically treated tibial plateau fractures) intenta dar respuesta a la estabilidad que el peroné proximal aporta en las fracturas de la meseta tibial lateral. Se realizó un modelo de geometría tridimensional mediante elementos finitos a partir de la base de datos VAKHUM (http://www.ulb.ac.be/project/vakhum) y se creó una reconstrucción del modelo a partir de las imágenes de tomografía computarizada. Posteriormente se simuló una fractura tipo de meseta tibial lateral usando datos geométricos a partir de imágenes radiológicas y de TC. Se simularon los sistemas de tratamiento, con y sin peroné, la placa bloqueada Polyax® (Biomet Inc, IN, USA) y un set de tornillos canulados de 6,5 mm (Biomet Inc, IN, USA). Las fracturas de la meseta tibial lateral, fijadas ya sea con placa bloqueadas o con tornillos canulados, no mostraron movimientos interfragmentarios clínicamente relevantes en un modelo de EF. La fijación de la fractura con una placa bloqueada mostró una mayor estabilidad mecánica que la fijación con tornillos canulados. La placa bloqueada podría también permitir una capacidad de carga completa o al menos parcial bajo postura estática. Este modelo de EF mostró que un peroné intacto podría contribuir a la estabilidad mecánica de las fracturas de la meseta tibial lateral, y combinado con placa, la integridad mecánica que aporta el peroné puede permitir una capacidad de carga temprana y sin movimientos interfragmentarios significativos.
Tibial plateau fractures affect to the knee joint and they are injuries that often cause functional impairment. To preserve the normal function of the knee, articular congruence must be achieved, stable fixation must be obtained as well as physiological knee aligment in order to recover full range of motion. This goals are often difficult to be achieved due to the soft tissue damage, bone quality and patient comorbidities. The most frecuent injury mechanism is an axial load of the knee combined with and excessive valgus or varus force. Lateral plateau is affected on 55%-70% of the cases and medial plateau on 10%-30%. There is not yet a totally standardized technique to approach all tibial plateau fractures due to the little number of biomechanic studies, therefore there are diferent techniques to treat the same fractures. The aim of this study was to have a better biomechanic understanding of tibial plateau fractures and to compare the most common treatments to asses what is the best way to treat these injuries. This investigation was conducted using finite elements (FE). FE method consists on subdividing complex geometries in a less complex geometry element assemblement. Therefore relative movements in the geometry can be easily measured and accurate calculations can be obtained. Depending on the dimension of the geometry studied the elements can be linear (1D), triangles or squares (2D)or tetrahedrons or hexahedrons (3D). Relative displacements of calculated points inside the elements are associated to tension values with behavioral equations for virtually simulated material and geometry. The purpose of the first study (Fixation of a split fracture of the lateral tibial plateau with a locking screw plate instead of cannulated screws would allow early weight bearing: a computational exploration) was to assess, with finite element (FE) calculations, whether immediate weight bearing would be possible after surgical stabilization either with cannulated screws or with a locking plate in a split fracture of the lateral tibial plateau (LTP). The purpose of the second study ( An intact fibula may contribute to allow early weight-bearing in surgically treated tibial plateau fractures ) was to assess differences in interfragmentary movement (IFM) in a split fracture of lateral tibial plateau, with and without intact fibula. It was hypothesized that an intact fibula could positively contribute to the mechanical stabilization of surgically reduced lateral tibial plateau fractures. A split fracture of the LTP was recreated in a FE model of a human tibia. A three-dimensional FE model geometry of a human femur-tibia system was obtained from the VAKHUM project database, and was built from CT images from a subject with normal bone morphologies and normal alignment. The mesh of the tibia was reconverted into a geometry of NURBS surfaces. A split fracture of the lateral tibial plateau was reproduced by using geometrical data from patient radiographs. A locking screw plate (LP) and a cannulated screw (CS) systems were modelled to virtually reduce the fracture and 80 kg static body-weight was simulated with and without fibula. While the simulated body-weight led to clinically acceptable interfragmentary motion, possible traumatic bone shear stresses were predicted nearby the cannulated screws. With a maximum estimation of about 1.7 MPa maximum bone shear stresses, the Polyax system might ensure more reasonable safety margins. Split fractures of the LTP fixed either with locking screw plate or cannulated screws showed no clinically relevant IFM in a FE model. The locking screw plate showed higher mechanical stability than cannulated screw fixation. The locking screw plate might also allow full or at least partial weight bearing under static posture at time zero. This FE model showed that an intact fibula contributes to the mechanical stability of the lateral tibial plateau. In combination with a locking plate fixation, early weight bearing may be allowed without significant IFM, contributing to an early clinical and functional recovery of the patient.
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Harith, Hazreen Haizi. "Clinically-based automatic implant fitting for shape optimization of fracture fixation plates." Thesis, Queensland University of Technology, 2014. https://eprints.qut.edu.au/76086/1/Hazreen%20Haizi_Harith_Thesis.pdf.

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Complex bone contour and anatomical variations between individual bones complicate the process of deriving an implant shape that fits majority of the population. This thesis proposes an automatic fitting method for anatomically-precontoured plates based on clinical requirements, and investigated if 100% anatomical fit for a group of bone is achievable through manual bending of one plate shape. It was found that, for the plate used, 100% fit is impossible to achieve through manual bending alone. Rather, newly-developed shapes are also required to obtain anatomical fit in areas with more complex bone contour.
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Malan, Freddie. "An in vitro biomechanical comparison between intramedullary pinning and the use of plates in the dachshund tibia." Diss., University of Pretoria, 2012. http://hdl.handle.net/2263/24914.

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The dachshund, a chondrodystrophic dog breed, presents a unique challenge in the treatment of tibial fractures by having short and curvaceous tibiae, leading to high implant failure risk. In this study, intramedullary pins with full cerclage wires as an option in the treatment of oblique diaphyseal tibial fractures was studied in vitro. This fixation technique was biomechanically compared with the current gold standard in internal stabilization, namely bone plates and screws. Twenty tibiae recovered from adult dachshund cadavers were randomly allocated into two groups of ten bones each. Oblique fractures running in a proximo-cranial-disto-caudal direction in the middle third of the tibial diaphysis were simulated by osteotomy and each bone repaired by using one of the following methods:
  • Pre-bent intramedullary pin, filling 40% to 60% of the medullary cavity at its narrowest point, inserted normograde and combined with a set of three full cerclage wires (group 1).
  • Lag screw at the osteotomy site, combined with a six hole 2.7 mm contoured dynamic compression plate and cortical screws in neutral mode (group 2).
Each test specimen was subjected to a two point single cycle axial compression test by applying a standardized, increasing compression load to the point of fixation failure or bone collapse. A stress-strain graph for each test specimen was drawn from the raw data. Radiographs and digital photographs were made pre-osteotomy, post-osteotomy, post-repair and post-test, and modes of failure noted for each test specimen. Stress (applied load) and strain (deformation) at yield, ultimate strength, and at failure were determined for each test specimen from the stress-strain graphs and the mean values statistically compared between the groups using the ANCOVA method. Significance levels of p < 0.05 were used, while p < 0.1 and p < 0.01 were also indicated. In group 1, 50% specimens failed due to unraveling or slippage with displacement of the cerclage wires, 30% due to bone fracture at a cerclage wire, and 20% due to bone fracture elsewhere. In group 2, 80% specimens failed due to bone fracture at one or more of the screw holes, whereas 20% failed due to bone fracture not directly associated with implants. No bone plate or screw underwent plastic (permanent) deformation, whereas 80% of the intramedullary pins and 30% of the cerclage wires underwent plastic deformation. Mean stress at the yield point in groups 1 and 2 were 0.323 MPa and 0.403 MPa respectively, at the point of ultimate strength 0.383 MPa and 0.431 MPa respectively, and at the failure point 0.345 MPa and 0.403 MPa respectively. Mean strain at the yield point in groups 1 and 2 were 0.296% and 0.362% respectively, at the point of ultimate strength 0.412% and 0.472% respectively, and at the failure point 0.713% and 0.838% respectively. Clinically, there was an indication that plates and screws were more resistant to deformation by the loads applied than intramedullary pins and cerclage wires. However, statistically, there were no significant differences in stress at yield (p = 0.299), ultimate strength (p = 0.275), or failure (p = 0.137) between the two groups. Similarly, there were no significant differences in strain at yield (p = 0.684), ultimate strength (p = 0.778), or failure (p = 0.505) between the two groups. Main limitations of the study were the relatively small number of specimens tested, the smoothness of the osteotomy cuts which limited interdigitation between the fragments, and that only three of the five recognized loads acting on bones in vivo, were tested in vitro. In conclusion, this study did not show enough evidence to prove a significant difference between the two methods of fixation. Therefore, it is suggested that intramedullary pins and full cerclage wires be used as an acceptable alternative to bone plates and screws in the treatment of oblique mid-diaphyseal tibial fractures in chondrodystrophic dog breeds.
Die dachshund, ‘n chondrodistrofiese honderas, bied ‘n unieke uitdaging in die behandeling van frakture van die tibia, deurdat hulle tibias kort en krom is, wat lei tot ‘n hoë risiko van inplantaat mislukking. In hierdie studie is intramedullêre penne met vol sirkeldrade as ‘n keuse in die behandeling van skuins frakture van die tibiale skag in vitro bestudeer. Hierdie tegniek van herstel is vergelyk met die huidige goue standaard in interne stabilisering, naamlik beenplate en skroewe. Twintig tibias wat van volwasse dachshund kadawers herwin is, is lukraak aan twee groepe van tien bene elk toegewys. Skuins frakture in ‘n proksimo-kranio-disto-koudale rigting in die middelste derde van die tibiale skag is nageboots deur ‘n osteotomie, waarna elke been herstel is deur die gebruik van een van die volgende metodes:
  • Vooraf gebuigde intramedullêre pen, wat 40% tot 60% van die murgholte by die dunste punt vul, normograad geplaas en gekombineer met ‘n stel van drie vol sirkeldrade (groep 1).
  • Trekskroef by die osteotomie area, gekombineer met ‘n ses-gat 2.7 mm gekontoerde dinamiese drukplaat en kortikale skroewe geplaas op neutrale wyse (groep 2).
Elke toetsmonster is onderwerp aan ‘n twee-punt enkel siklus aksiale druktoets deur die toepassing van ‘n gestandardiseerde, verhogende druklading tot by die punt van fiksasie breuk of kollaps van die been. ‘n Druk-spanning grafiek vir elke toetsmonster is vanaf die rou data saamgestel. X-straalfoto’s en digitale foto’s van elke been is pre-osteotomie, post-osteotomie, post-herstel and post-toets geneem en die maniere van faal vir elke toetsmonster aangeteken. Druk (toegepaste lading) en spanning (vervorming) by meegee (“yield”), treksterkte (“ultimate strength”) en faal (“failure”) is vir elke toetsmonster bepaal vanaf die druk-spanning grafieke en die gemiddelde waardes statisties vergelyk tussen die groepe deur gebruik te maak van die ANCOVA metode. Beduidenis vlakke van p < 0.05 is gebruik, terwyl p < 0.1 en p < 0.01 ook aangedui is. In groep 1 het 50% toetsmonsters gefaal as gevolg van losgaan of gly van die sirkeldrade met verplasing, 30% as gevolg van beenfrakture by ‘n sirkeldraad, en 20% as gevolg van beenfrakture elders. In groep 2 het 80% toetsmonsters gefaal as gevolg van beenfrakture by een of meer skroefgate, terwyl 20% gefaal het as gevolg van beenfrakture wat nie direk met die inplantate geassosieer is nie. Geen beenplaat of skroef het plastiese (permanente) vervorming ondergaan nie, terwyl 80% van die IM penne en 30% van die sirkeldrade plastiese vervorming ondergaan het. Gemiddelde druk by die meegeepunt in groepe 1 en 2 was 0.323 MPa en 0.403 MPa onderskeidelik, by die punt van treksterkte 0.383 MPa en 0.431 MPa onderskeidelik, en by die faalpunt 0.345 MPa en 0.403 MPa onderskeidelik. Gemiddelde spanning by die meegeepunt in groepe 1 en 2 was 0.296% en 0.362% onderskeidelik, by die punt van treksterkte 0.412% en 0.472% onderskeidelik, en by die faalpunt 0.713% en 0.838% onderskeidelik. Klinies was daar ‘n indikasie dat plate en skroewe meer weerstandbiedend was teen vervorming deur die toegepaste ladings as intramedullêre penne en sirkeldrade. Statisties was die druk wat die toetsmonster laat meegee (p = 0.299), en die druk by die treksterkte- (p = 0.275) en faalpunte (p = 0.137) egter nie beduidend verskillend tussen die twee groepe nie. Net so was die spanning by die meegee- (p = 0.684), treksterkte- (p = 0.778) en faalpunte (p = 0.505) nie beduidend verskillend tussen die twee groepe nie. Hoof beperkings van die studie was die relatief klein getal monsters wat getoets is, die gladheid van die osteotomie-snitte wat interdigitasie tussen die fragmente beperk het, en dat slegs drie van die vyf erkende ladings wat op bene in vivo inwerk, in vitro getoets kon word. Laastens het hierdie studie nie genoeg getuienis opgelewer om ‘n beduidende verskil te bewys trussen die twee metodes van herstel nie. Derhalwe word voorgestel dat IM-penne en vol sirkeldrade gebruik word as aanvarbare alternatief tot beenplate en skroewe in die behandeling van skuins midskag tibia frakture in chondrodistrofiese honderasse.
Dissertation (MSc)--University of Pretoria, 2012.
Companion Animal Clinical Studies
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Bennett, Kieran James. "In Silico, Ex Vivo, and In Vivo approaches for Modelling Tibial Plateau Fractures." Thesis, 2022. https://hdl.handle.net/2440/136035.

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Tibial plateau fractures are associated with reduced lower limb function and poor patient reported outcomes. Allowing earlier postoperative weight bearing in could improve these outcomes. The central aim of this thesis was to improve upon methods for modelling the local mechanical environment in surgically repaired tibial plateau fractures to further understand the mechanics associated with fracture recovery, and to investigate long-term patient responses to immediate postoperative weight bearing. To achieve this, a combination of in silico, ex vivo, and in vivo studies were undertaken. Neuromusculoskeletal methods for estimating knee joint loads were improved and validated using data from instrumented knee replacements. These methods could be applied to tibial plateau fracture patients to better estimate the load applied to their fractures when walking immediately postoperative. Micro-CT imaging during concurrent mechanical loading methods were developed for determining the internal mechanical environment of the proximal tibia. Using these methods, the internal strains calculated using digital volume correlation were compared to subject specific finite element models of the same tibias. The strains within the proximal tibia were within the expected physiological region (200-3000 μϵ) and showed similar median strains to the FE models (error less than 35%). The experimental methods developed were applied to split tibial plateau fractures, showing that, under three bodyweights of load, there is little fracture fragment displacement (<0.3 mm) measured using image correlation. These results suggest that, with adequate mechanical fixation, it is unlikely that simple split fracture fragments would significantly displace from loads applied during basic activities of daily living. Two-year longitudinal patient responses to immediate postoperative weight bearing identified that patients showed similar joint kinematics to immediate postoperative weight bearing when compared to TPF patients who were not prescribed weight bearing. The work presented in this thesis enables further computational and cohort studies of TPF mechanics to assess the safety of postoperative weight bearing.
Thesis (Ph.D.) -- University of Adelaide, Adelaide Medical School, 2022
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Chang, Sheng-I., and 張勝一. "Fracture Analysis of Proximal Tibia Plate." Thesis, 2007. http://ndltd.ncl.edu.tw/handle/52574866049459910290.

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碩士
國立成功大學
醫學工程研究所碩博士班
95
Abstract Tibial fractures are the third most common fracture type following femur and radius/ulna fractures. The tibia has one third area, which is only covered by skin and lack of blood and nutrient supply with poor bone healing. The Less Invasive Stabilization System (LISS) for proximal tibial fractures provides a locking mechanism of the screw in the plate which offers angular stability and is suitable for patients with osteopenia or osteoporosis. LISS proximal tibia plate has been clinically efficacy on the fixation of proximal tibial fractures for bone healing. However, the biomechanics of the fixation of LISS on tibital fractures are still not clear. The purpose of this research was to apply finite element method to characterize the biomechanical performance of the proximal tibia plate to stabilize the proximal tibia fracture. Finite element method was used to analyze the stresses distribution on the fixation of the plate to three different sites of, two common types of proximal tibial fractures and different screw positions. In addition, a fractured plate after clinical use was investigated by using material testing to determine fracture characteristics and to validate through the outcomes of finite element analysis. The analytical results illustrate that (1) the higher stress are occurring in the plate, while the tibia fracture site is more closer to the distal region of tibia; (2) the fixation of oblique fracture has led to higher stress in the plate than the fixation of transverse fracture; (3) a change of screw position to increase the working length of plate is led to the reduction of stress in the plate. In all conditions, the stress concentration are occurred around the screw hole of the plate, which may lead to fatigue failure of the bone plate. This may also lead to the delay of fracture healing. The results of this research have suggested the following two designs to the improved bone plate: (1) smooth the curvature in the proximal region of the plate to fit the bone contour of domestic people and to reduce the stress; (2) improve the manufacture process to enhance fatigue strength of the plate.
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Chen, Li Lin, and 陳俐伶. "Biomechanical Study of Interlocking Plate for Treatment of Distal Tibial Fracture." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/kgkwaa.

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碩士
長庚大學
醫療機電工程研究所
105
Background: Treatment of distal tibia fractures remains challenge because the fracture sites are near to the ankle joint and often accompanied with severe soft tissue injury and bone comminution. Medial plate fixation has been favored to treat distal tibia fractures because this procedure reduces injury to soft tissues and produces good clinical results. However, the complications such as skin irritation, skin necrosis, and plate exposure are frequently occurred with use of the medial plate fixation technique. Recently, lateral plate fixation was introduced to reduce the aforementioned complications, and favorable outcome have been reported. However, to the best of our knowledge, previous literatures comparing the biomechanical behavior of medial- and lateral plate fixation in treatment of distal tibia fractures is lacking. Methods: Computed tomography images of a standard composite tibia were used to create the 3-D finite element (FE) intact tibia model. Based on the intact model, eight models simulating four different fracture types (medial- or lateral-open wedge fractures, superolateral-to-inferomedial or superomedial-to-inferolateral oblique fractures) treated with two different plate fixation techniques (medial- or lateral-fixation) were created. A total load of 400 N was assumed to apply on the tibial plateau to evaluate the biomechanical performance of the tibia construct. The von Mises stress and displacement distributions of each model were analyzed and compared. Results: 1). Regardless of fracture types and fixation techniques, the highest stresses of fixation plate located on the fracture sites for all eight FE models. 2). For wedge fractures (medial- or lateral-open), a lower stress distribution on fixation plate together with a lower stress and displacement distribution of tibia structure were found for model with plate fixed in the ipsilateral site of the wedge open direction. 3). For oblique fractures, regardless of oblique direction (superolateral-to-inferomedial or superomedial-to-inferolateral), tibia structures with medial plate fixation presented a lower stress distribution on fixation plate together with a lower stress and displacement distribution of tibia structure. Conclusion: Regardless of the oblique direction, medial plate fixation was recommended for treatment of tibia with a distal oblique fracture; whereas ipsilateral plate fixation to seal the wedge open site was suggested for tibia with a distal wedge fracture.
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Basile, Susan Ann. "Modeling and analysis of proximal tibial growth plate fractures in adolescents." 2009. http://etd.utk.edu/2009/May2009Theses/BasileSusanAnn.pdf.

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Books on the topic "Tibial plateau fracture"

1

Hohl, H. Mason. Tibial plateau fractures. Philadelphia: W.B. Saunders, 1997.

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Walmsley, Phil, and John Keating. Tibial plateau fractures. Oxford University Press, 2011. http://dx.doi.org/10.1093/med/9780199550647.003.012056.

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♦ Split depression pattern lateral plateau most common type♦ Bicondylar and medial plateau fractures high energy injuries♦ Compartment syndrome, vascular injury, and common peroneal palsy may occur with high energy patterns♦ Internal fixation preferred treatment with good soft tissue envelope♦ Limited internal fixation suitable for many simple patterns♦ Plate fixation preferred for medial and bicondylar fractures♦ External fixation used with poor soft tissues♦ Fine wire external fixation should be considered for most complex patterns.
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Tibial Plateau Fractures. Elsevier, 2023. http://dx.doi.org/10.1016/c2020-0-01890-6.

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Riehl, John. Tibial Plateau Fractures. Elsevier, 2022.

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Hughes, Jim. Tibia and ankle. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198813170.003.0015.

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The ankle and distal tibia can often be damaged through inversion injuries, or from twisting trauma at the foot. Fractures to the tibial plateau will reduce the functioning of the limb and articulation of the knee. It is often the lateral side of the plateau that is damaged, the fixation of which will be covered in this chapter, reviewing a selection of orthopaedic procedures involving the tibia and ankle, covering tibial plateau screws; tibial plating; tibial intramedullary nailing; and fixation of the medial, lateral, and posterior malleolus of the ankle. Each procedure includes images that demonstrate the position of the C-arm, patient, and surgical equipment, with accompanying radiographs demonstrating the resulting images.
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Atzori, Francesco, and Luigi Sabatini. Tibial Plateau Fractures: Diagnosis and Treatment. Bentham Science Publishers, 2016.

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Atzori, Francesco, and Luigi Sabatini, eds. The Tibial Plateu Fractures: Diagnosis and Treatment. BENTHAM SCIENCE PUBLISHERS, 2016. http://dx.doi.org/10.2174/97816810824171160101.

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Book chapters on the topic "Tibial plateau fracture"

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Makhni, Melvin C., Eric C. Makhni, Eric F. Swart, and Charles S. Day. "Tibial Plateau Fracture." In Orthopedic Emergencies, 325–28. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-31524-9_72.

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Tosounidis, Theodoros H., and Peter V. Giannoudis. "Posterior Tibial Plateau Fractures." In Fracture Reduction and Fixation Techniques, 299–306. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-24608-2_23.

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Schatzker, J. "Fractures of the Tibial Plateau." In The Rationale of Operative Fracture Care, 279–95. Berlin, Heidelberg: Springer Berlin Heidelberg, 1987. http://dx.doi.org/10.1007/978-3-662-02483-6_16.

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Schatzker, J. "Fractures of the Tibial Plateau." In The Rationale of Operative Fracture Care, 419–38. Berlin, Heidelberg: Springer Berlin Heidelberg, 1996. http://dx.doi.org/10.1007/978-3-642-88443-6_19.

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Egol, Kenneth, and John Buza. "Bicondylar Tibial Plateau Fracture (Schatzker VI)." In Fractures of the Tibia, 57–71. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-21774-1_5.

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Foster, Patrick. "Schatzker Type VI Tibial Plateau Fractures." In Fracture Reduction and Fixation Techniques, 307–24. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-24608-2_24.

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Bauer, Jennifer M., and Hassan R. Mir. "Bicondylar Tibial Plateau Fracture with Compartment Syndrome." In Fractures of the Tibia, 85–93. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-21774-1_7.

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Rosso, Federica, Davide Blonna, Antonio Marmotti, Gianluca Collo, and Roberto Rossi. "Primary Total Knee Arthroplasty (TKA) in Tibial Plateau Fractures." In Fracture Management Joint by Joint, 77–84. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-28806-2_7.

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Peter, Reynders-Frederix, Reynders-Frederix Cristina, and Illès Tamàs. "Schatzker Type III and Complex Bicondylar Tibial Plateau Fractures." In Fracture Reduction and Fixation Techniques, 289–98. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-24608-2_22.

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Duwelius, Paul J., and David C. Templeman. "The Knee: Tibial Plateau Fracture Reduction Techniques Utilizing Cannulated Screw Fixation." In Cannulated Screw Fixation, 170–88. New York, NY: Springer New York, 1996. http://dx.doi.org/10.1007/978-1-4612-2326-9_10.

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Conference papers on the topic "Tibial plateau fracture"

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CM, Geier, Frederick SW, and Cross AR. "Does the Risk of Patella Fracture Increase with Decreasing Tibial Plateau ANGLE following Tibial Plateau Leveling Osteotomy?" In Abstracts of the 47th Annual Conference of the Veterinary Orthopedic Society. Georg Thieme Verlag KG, 2020. http://dx.doi.org/10.1055/s-0040-1712892.

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Ungurianu, Sorin. "Tibial Plateau Fracture: Mathematical Model to Correlate Agent Force Trauma." In 2010 Advanced Technologies for Enhancing Quality of Life (ATEQUAL). IEEE, 2010. http://dx.doi.org/10.1109/atequal.2010.32.

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LC, Peterson, and Kim SE. "Minimally Invasive Fixation of a Lateral Tibial Plateau Fracture in a Dog." In Abstracts of the 47th Annual Conference of the Veterinary Orthopedic Society. Georg Thieme Verlag KG, 2020. http://dx.doi.org/10.1055/s-0040-1714960.

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Vedrine, B. "Proximal Physeal Fracture of the Tibia with Caudal Bascule of the Tibial Plateau Managed with Epiphysiodesis of the Proximal Tibia." In Abstracts of the 47th Annual Conference of the Veterinary Orthopedic Society. Georg Thieme Verlag KG, 2020. http://dx.doi.org/10.1055/s-0040-1714947.

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Basile, Susan, and Xiaopeng Zhao. "Modeling and Analysis of Proximal Tibial Growth Plate Fractures in Adolescents." In ASME 2009 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2009. http://dx.doi.org/10.1115/sbc2009-203651.

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Today, children and adolescents are participating heavily in organized athletics year-round. Each year, approximately one third of these children will experience a serious injury requiring a doctor’s or hospital visit. Physeal, or growth plate fractures, are one such type of overuse injury commonly seen in adolescents. At the knee joint, injuries in adolescents occur most often in the proximal region of the tibia as opposed to the middle or distal thirds of the tibia, or in the soft tissues of the joint, as seen in adults. While the exact reasons for this difference have not been directly and definitively quantified, several hypotheses have been suggested. They include differences in movement strategies, changes in limb inertial and material properties, and the timing of these changes in relation to one another. This work aims to compare the changes in and interaction of inertial properties of the lower leg and forces transmitted through the patellar tendon, along with tibiofemoral contact before, during, and after puberty. Forces were first determined using Kane’s method of dynamics in conjunction with an isometric knee extension study yielding separate adult and youth data. These results were then extended to a finite element analysis to load tibial models and investigate changes in stress and strain at the proximal tibia.
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Williams, John L., Nicholas K. Gove, G. Adam Flowers, and Thomas L. Schmidt. "Fracture Toughness of the Growth Cartilage Reserve Zone Is Anisotropic." In ASME 2001 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2001. http://dx.doi.org/10.1115/imece2001/bed-23066.

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Abstract In the developing proximal tibial epiphysis the anterior ossifying tibial tuberosity is separated from the secondary ossification center of the tibial epiphysis by a bipolar growth plate known as the ‘cartilage bridge.’ We tested the fracture toughness of the central part of this growth cartilage in 18-week old calves in the direction perpendicular to the plate (mean 4962 N/m, SD 1846) and found it to be greater (p = 0.0004) than in the parallel direction (mean 2909 N/mm, SD 1122). Part of the reason for this anisotropy is the presence of vascular channels which cross the bridge from the epiphysis into the tuberosity. In addition, we hypothesize that the anisotropy reflects an arrangement of collagen primarily along the length of the ‘cartilage bridge.’
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Basile, Susan, and Xiaopeng Zhao. "Modeling and analysis of proximal tibial growth plate fractures in adolescents." In Engineering Conference (BSEC): Exploring the Intersections of Interdisciplinary Biomedical Research. IEEE, 2009. http://dx.doi.org/10.1109/bsec.2009.5090474.

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MacArthur, S. L., M. D. Johnson, and D. D. Lewis. "Biomechanical Comparison of Two Conical Coupling Plate Constructs for Cat Tibial Fracture Stabilization." In Abstracts of the 46th Annual Conference of the Veterinary Orthopedic Society. Georg Thieme Verlag KG, 2019. http://dx.doi.org/10.1055/s-0039-1692274.

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Raja Mohd Aizat Raja Izaham, Mohammed Rafiq Abdul Kadir, and Darhaysham Al-Jefri Muslim. "Screws placement effect on locking compression plate (LCP) for tibial oblique fracture fixation." In 2010 IEEE EMBS Conference on Biomedical Engineering and Sciences (IECBES). IEEE, 2010. http://dx.doi.org/10.1109/iecbes.2010.5742235.

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Alcântara, B., B. Minto, G. Franco, D. Lucena, and L. Dias. "Bridge Plating for Simple Tibial Fractures Treated by Minimally Invasive Plate Osteosynthesis." In Abstracts of the 6th World Veterinary Orthopedic Congress. Georg Thieme Verlag KG, 2022. http://dx.doi.org/10.1055/s-0042-1758326.

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Reports on the topic "Tibial plateau fracture"

1

Ekman, Anna. AO Intra-articular Bicondylar Tibial Plateau Fracture. Touch Surgery Publications, December 2019. http://dx.doi.org/10.18556/touchsurgery/2016.s0173.

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Ekman, Anna. AO Intra-articular Bicondylar Tibial Plateau Fracture. Touch Surgery Simulations, December 2019. http://dx.doi.org/10.18556/touchsurgery/2019.s0173.

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