Challenge of the Week / Trauma / 03.26.2021

In a patient with polytrauma who has a Schatzker type-6 tibial plateau fracture, damage control orthopaedic management of this fracture should include which of the following?

    • Open reduction and internal fixation
    • Immediate open reduction and internal fixation may compromise the patient’s overall outcome if performed before the patient is stabilized by placing the patient at risk for hypothermia, acidosis, and coagulopathy.

 

    • Intramedullary nailing
    • Intramedullary nailing, if needed, is considered definitive management and should be delayed in damage control orthopaedics. It is not the definitive treatment of choice for tibial plateau fractures.

 

    • No immobilization
    • Immobilization is needed to help stabilize the patient’s injuries, restoring alignment and stability until definitive management can take place

 

    • Knee-spanning external fixator
    • A knee-spanning external fixator to correct the fracture deformity and shortening until the patient is stabilized and definitive management can be performed.

     

Previous Post
Challenge of the Week / Sports / 03.19.2021
Next Post
Challenge of the Week / Hip / 04.01.2021

Enter your information below to receive the JBJS Clinical Classroom Challenge of the Week.

 

Menu
%d bloggers like this: