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Le fratture dei piatti tibiali: MIPO artroscopico assistita

Tibial plateau fratures: MIPO arthroscopically assisted

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LO SCALPELLO-OTODI Educational

Abstract

Tibial plateau fractures (TPF) are major traumatic injuries. These fractures encompass several fracture configurations with differing degrees of articular depression and displacement. Orthopaedics have widely used the Schatzker classification system for management and prognosis. In case of improper restoration of the plateau surface and of the axis of the leg, these fractures may lead to premature osteoarthritis, ligament injury, lifelong pain, disability. Surgical treatment is advantageous to achieve a stable knee. Early knee motion permits reduced knee stiffness and improved cartilage regeneration. Minimally invasive plate osteosynthesis (MIPO) improves the healing rate by minimizing disruption of soft tissues and preserving vascular supply, thus minimizing the risks of infection and wound dehiscence. MIPO reduces postoperative pain and enables early rehabilitation. It is cosmetically more acceptable. Arthroscopy permits superior reduction and soft tissue (meniscal and ligamentous) management.

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Authors and Affiliations

  1. UO di Ortopedia e Traumatologia, Ospedale di Conegliano e Vittorio Veneto—ULSS 7, Regione Veneto, Conegliano, Italia

    A. Agueci

  2. UOC di Ortopedia e Traumatologia, Ospedale “San Bortolo” di Vicenza—ULSS 6, Regione Veneto, Vicenza, Italia

    A. Momoli, G. Moras & R. Sinigaglia

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  1. A. Agueci
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  2. A. Momoli
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  3. G. Moras
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  4. R. Sinigaglia
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Correspondence to A. Momoli.

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Agueci, A., Momoli, A., Moras, G. et al. Le fratture dei piatti tibiali: MIPO artroscopico assistita. LO SCALPELLO 28, 200–206 (2014). https://doi.org/10.1007/s11639-014-0096-2

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