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Le fratture complesse del piatto tibiale: tecniche di fissazione esterna

Complex tibial plateau fractures: external fixation techniques

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LO SCALPELLO-OTODI Educational

Abstract

Complex fractures of the tibial plateau are caused by high-energy trauma and are often associated with severe soft tissue damage. Different external fixation techniques are now available to the surgeon to lead to healing of these fractures. A milestone in their surgical management is soft-tissue management which, if added to the possible external fixation techniques, configures the best solution to damage control orthopaedic trauma surgery for polytrauma patients. We believe that hybrid external fixators are the most appropriate kind of external fixation for type V and VI Schatzker fractures, because they allow for good manoeuvrability during fracture reduction, any subsequent changes of the fixator configuration, early loading and faster functional recovery.

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Correspondence to Rocco Colasuonno.

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Gli autori Colasuonno Rocco e Napolitano Ignazio dichiarano di non avere alcun conflitto di interesse.

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Tutte le procedure descritte nello studio e che hanno coinvolto esseri umani sono state attuate in conformità alle norme etiche stabilite dalla dichiarazione di Helsinki del 1975 e successive modifiche. Il consenso informato è stato ottenuto da tutti i pazienti inclusi nello studio.

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Colasuonno, R., Napolitano, I. Le fratture complesse del piatto tibiale: tecniche di fissazione esterna. LO SCALPELLO 31, 65–73 (2017). https://doi.org/10.1007/s11639-017-0202-3

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