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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Main Authors: Norin Forna, Paul-Dan Sîrbu, Savin Liliana, Lucian Eva, Wilhelm Friedl, Eugen Carata, Tudor Pinteală, Răzvan Tudor, Mihnea Theodor Sîrbu
Format: Article
Language:English
Published: Romanian Society of Oral Rehabilitation 2024-12-01
Series:Romanian Journal of Oral Rehabilitation
Subjects:
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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