J Knee Surg 2014; 27(01): 005-010
DOI: 10.1055/s-0033-1363546
Special Focus Section
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Management of Soft Tissue Injuries Associated with Tibial Plateau Fractures

Joseph Borrelli Jr.
1   Department of Orthopedic Surgery, Texas Health Arlington Memorial Hospital, Arlington, Texas
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09. November 2013

12. November 2013

Publikationsdatum:
19. Dezember 2013 (online)

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Abstract

Tibial plateau fractures or knee fracture–dislocations often result from trauma or sporting injuries. Given the subcutaneous position of the knee and upper tibia, without much intervening soft tissue, any such injury can be associated with significant soft tissue damage. Thus, consideration of the degree of soft tissue injury must be part of the treatment plan. Specific management decisions regarding blisters, open wounds, and compartment syndrome are discussed, as well as the timing of surgery, role of provisional external fixation, and placement of incisions for definitive internal fixation.