ADVANCEMENTS IN MODERN SURGICAL MANAGEMENT OF TIBIAL PLATEAU FRACTURES: A COMPREHENSIVE REVIEW
This review aims to summarize the literature on classic and advanced surgical management strategies for tibial plateau fractures. The primary objective in treating these fractures is to restore joint functionality and ensure favorable short- and long-term outcomes. Effective surgical management mini...
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Format: | Article |
Language: | English |
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Romanian Society of Oral Rehabilitation
2024-12-01
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Series: | Romanian Journal of Oral Rehabilitation |
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Online Access: | https://rjor.ro/advancements-in-modern-surgical-management-of-tibial-plateau-fractures-a-comprehensive-review/ |
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author | Norin Forna Paul-Dan Sîrbu Savin Liliana Lucian Eva Wilhelm Friedl Eugen Carata Tudor Pinteală Răzvan Tudor Mihnea Theodor Sîrbu |
author_facet | Norin Forna Paul-Dan Sîrbu Savin Liliana Lucian Eva Wilhelm Friedl Eugen Carata Tudor Pinteală Răzvan Tudor Mihnea Theodor Sîrbu |
author_sort | Norin Forna |
collection | DOAJ |
description | This review aims to summarize the literature on classic and advanced surgical management strategies for tibial plateau fractures. The primary objective in treating these fractures is to restore joint functionality and ensure favorable short- and long-term outcomes. Effective surgical management minimizes the risk of joint instability, enhances long-term prognosis, and maintains the patient’s quality of life. Most orthopedic surgeons adopt a staged treatment strategy, involving initial stabilization followed by definitive surgical fixation, respecting soft tissue conditions, achieving precise anatomical reduction, ensuring stable fixation, and promoting early rehabilitation. Surgical techniques include open approaches with arthrotomy for articular surface reconstruction and fixation using plates and screws, as well as minimally invasive approaches such as arthroscopy or percutaneous fixation with screws or external fixators. Modern osteosynthesis techniques—plates, screws, external fixators, and rotating hinges—have become the standard of care, except in cases of minimal displacement. These approaches collectively aim to optimize patient recovery and joint functionality. |
format | Article |
id | doaj-art-99023e1421ba407e926db13ccc813f10 |
institution | Kabale University |
issn | 2066-7000 2601-4661 |
language | English |
publishDate | 2024-12-01 |
publisher | Romanian Society of Oral Rehabilitation |
record_format | Article |
series | Romanian Journal of Oral Rehabilitation |
spelling | doaj-art-99023e1421ba407e926db13ccc813f102025-01-21T13:52:30ZengRomanian Society of Oral RehabilitationRomanian Journal of Oral Rehabilitation2066-70002601-46612024-12-0116428929910.62610/RJOR.2024.4.16.29ADVANCEMENTS IN MODERN SURGICAL MANAGEMENT OF TIBIAL PLATEAU FRACTURES: A COMPREHENSIVE REVIEWNorin FornaPaul-Dan SîrbuSavin LilianaLucian EvaWilhelm FriedlEugen CarataTudor PintealăRăzvan TudorMihnea Theodor SîrbuThis review aims to summarize the literature on classic and advanced surgical management strategies for tibial plateau fractures. The primary objective in treating these fractures is to restore joint functionality and ensure favorable short- and long-term outcomes. Effective surgical management minimizes the risk of joint instability, enhances long-term prognosis, and maintains the patient’s quality of life. Most orthopedic surgeons adopt a staged treatment strategy, involving initial stabilization followed by definitive surgical fixation, respecting soft tissue conditions, achieving precise anatomical reduction, ensuring stable fixation, and promoting early rehabilitation. Surgical techniques include open approaches with arthrotomy for articular surface reconstruction and fixation using plates and screws, as well as minimally invasive approaches such as arthroscopy or percutaneous fixation with screws or external fixators. Modern osteosynthesis techniques—plates, screws, external fixators, and rotating hinges—have become the standard of care, except in cases of minimal displacement. These approaches collectively aim to optimize patient recovery and joint functionality.https://rjor.ro/advancements-in-modern-surgical-management-of-tibial-plateau-fractures-a-comprehensive-review/tibial plateaufracturessurgical management |
spellingShingle | Norin Forna Paul-Dan Sîrbu Savin Liliana Lucian Eva Wilhelm Friedl Eugen Carata Tudor Pinteală Răzvan Tudor Mihnea Theodor Sîrbu ADVANCEMENTS IN MODERN SURGICAL MANAGEMENT OF TIBIAL PLATEAU FRACTURES: A COMPREHENSIVE REVIEW Romanian Journal of Oral Rehabilitation tibial plateau fractures surgical management |
title | ADVANCEMENTS IN MODERN SURGICAL MANAGEMENT OF TIBIAL PLATEAU FRACTURES: A COMPREHENSIVE REVIEW |
title_full | ADVANCEMENTS IN MODERN SURGICAL MANAGEMENT OF TIBIAL PLATEAU FRACTURES: A COMPREHENSIVE REVIEW |
title_fullStr | ADVANCEMENTS IN MODERN SURGICAL MANAGEMENT OF TIBIAL PLATEAU FRACTURES: A COMPREHENSIVE REVIEW |
title_full_unstemmed | ADVANCEMENTS IN MODERN SURGICAL MANAGEMENT OF TIBIAL PLATEAU FRACTURES: A COMPREHENSIVE REVIEW |
title_short | ADVANCEMENTS IN MODERN SURGICAL MANAGEMENT OF TIBIAL PLATEAU FRACTURES: A COMPREHENSIVE REVIEW |
title_sort | advancements in modern surgical management of tibial plateau fractures a comprehensive review |
topic | tibial plateau fractures surgical management |
url | https://rjor.ro/advancements-in-modern-surgical-management-of-tibial-plateau-fractures-a-comprehensive-review/ |
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