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Tibial Plateau Fractures
Posted: Oct 22 2018 #(C101115)
A

Tibial Plateau Fx in 70M 6 Weeks After Injury

HPI

Patient stepped into a hole 6 weeks ago. Reports has had medial knee pain and events of "instability" ever since.

PMH

Adult-Onset Diabetes Mellitus - controlled

PE

Gait: -Antalgic -Lateral thrust -Standing Valgus Alignment ROM / Ligament Exam knee: -0-120 -Marked Laxity to Varus/Valgus Stress with End-point -Passively corrects to near neutral -Tender to palpation lateral joint line ROM hip: normal

Poll
1 of 5
1. What further radiographic studies are required to determine treatment?
None, I have all the studies I need
9%
127/1325
Stress x-ray of knee of injured knee
4%
62/1325
Xray of contralateral knee
3%
43/1325
CT of knee
67%
900/1325
MRI of knee
14%
193/1325
2. At this time, how would you manage this patient?
Non-operative
11%
141/1239
Operative
88%
1098/1239
3. If choosing operative treatment, what type of surgery would you perform?
ORIF
37%
463/1251
TKA
56%
704/1251
Arthroscopy
1%
16/1251
Lateral Compartment Uni
4%
62/1251
Knee Fusion
0%
6/1251
4. If choosing total knee arthroplasty (TKA), what type of implant would you chose?
Bi-cruciate Retaining Implant
7%
88/1140
Porous Coated Non-stemmed CR Implant
5%
63/1140
PS or CR Implants with Tibial Stem
70%
804/1140
Rotating Hinge Implant
16%
185/1140
5. In your experience does performing a TKA after an ORIF of a tibial plateau feature increase the complication rate of the TKA?
No - Does not increase complications of TKA
17%
203/1135
Yes - Slightly increase complications
61%
703/1135
Yes - Significantly increase complications
20%
229/1135
PROCEDURE #1

TKA

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OUTCOMES
Post-procedure P1
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