Distal Tibia Fractures: Outcomes for a Successful Result: Beware as - - PowerPoint PPT Presentation

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distal tibia fractures outcomes for a successful result
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Distal Tibia Fractures: Outcomes for a Successful Result: Beware as - - PowerPoint PPT Presentation

Jan 27, 2023 199 likes •411 views

Distal Tibia Fractures: Outcomes for a Successful Result: Beware as You Plan Your Strategy Joshua L. Gary, MD Disclosures Editorial Board: JBJS, JOT, BJR, JAAOS Smith and Nephew: Teaching/Consulting AO North America: Teaching SMV Inc.:

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Joshua L. Gary, MD Distal Tibia Fractures: Outcomes for a Successful Result: Beware as You Plan Your Strategy

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Editorial Board: JBJS, JOT, BJR, JAAOS Smith and Nephew: Teaching/Consulting AO North America: Teaching SMV Inc.: Stockholder

Disclosures

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“We’ve got two for you….”

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Learning Objectives

  • 1. Importance of external fixation
  • 2. Axial CT for approach
  • 3. Compression-side plating
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What is this mortise?

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Why Ex-Fix?

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Why Ex-Fix?

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Why Ex-Fix?

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Surgical Approach?

Reduction: AL Compression Side: Lateral

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Definitive Fixation

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9 months later…

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Varus Failure

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Varus Failure

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Surgical Approach?

Reduction: AL Compression Side: Medial

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Anterolateral Approach

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Anterolateral Approach

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Percutaneous Medial Plate

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Final Films

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MIPPO of Anterolateral Plate?

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Take Home Points

  • Ex-fix: Length and/or angular instabilty
  • Axial CT  Articular reduction approach
  • Compression-side plating of tibia
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Thank You