Double Incision Approach and Early Rehabilitation in a Complicated Bicondylar Tibial Plateau Fracture: A Case Report .

Maria Ulderico Saverio Affatato; Maurizio Montalti; Claudio Masetti; Federico Giardina; Alessandra Sudanese

doi:10.1159/000476067

Double Incision Approach and Early Rehabilitation in a Complicated Bicondylar Tibial Plateau Fracture: A Case Report .

Maria Ulderico Saverio Affatato, Maurizio Montalti, Claudio Masetti, Federico Giardina, Alessandra Sudanese

Istituti Ortopedici Rizzoli

Research output: Contribution to journal › Article › peer-review

Abstract

The main goal of this case was to report the treatment of bicondylar fractures of the tibial plateau and the restoration of the metaphyseo-diaphyseal dissociation.
CLINICAL PRESENTATION AND INTERVENTION:
A 54-year old man who was cycling had a road accident that caused a closed fracture of the right tibial plateau and proximal fibula diagnosed by x-rays. Patient had surgical procedure and was immobilized with a long-leg splint for 4 weeks. After immobilization, aggressive rehabilitation was done. Progressive quadriceps strengthening, movements to improve symmetrical weight bearing, and functional activities were performed. The patient improved muscle strength and obtained high scores for gait and balance, in a relatively short time.
CONCLUSION:
In this report, a bicondylar tibial fracture treated with a 2-incision approach and a double plate osteosynthesis, provided a strong fracture stabilization and thereby, allowed an early mobilization with aggressive rehabilitation.

Original language	English
Pages (from-to)	387-389
Number of pages	3
Journal	Medical Principles and Practice
Volume	26
Issue number	4
DOIs	https://doi.org/10.1159/000476067
Publication status	Published - Apr 26 2017

Keywords

Bicondylar tibial fracture
AO classification
Rehabilitation

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title = "Double Incision Approach and Early Rehabilitation in a Complicated Bicondylar Tibial Plateau Fracture: A Case Report .",

abstract = "The main goal of this case was to report the treatment of bicondylar fractures of the tibial plateau and the restoration of the metaphyseo-diaphyseal dissociation.CLINICAL PRESENTATION AND INTERVENTION:A 54-year old man who was cycling had a road accident that caused a closed fracture of the right tibial plateau and proximal fibula diagnosed by x-rays. Patient had surgical procedure and was immobilized with a long-leg splint for 4 weeks. After immobilization, aggressive rehabilitation was done. Progressive quadriceps strengthening, movements to improve symmetrical weight bearing, and functional activities were performed. The patient improved muscle strength and obtained high scores for gait and balance, in a relatively short time.CONCLUSION:In this report, a bicondylar tibial fracture treated with a 2-incision approach and a double plate osteosynthesis, provided a strong fracture stabilization and thereby, allowed an early mobilization with aggressive rehabilitation.",

keywords = " Bicondylar tibial fracture, AO classification, Rehabilitation",

author = "Affatato, {Maria Ulderico Saverio} and Maurizio Montalti and Claudio Masetti and Federico Giardina and Alessandra Sudanese",

year = "2017",

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day = "26",

doi = "10.1159/000476067",

language = "English",

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pages = "387--389",

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T1 - Double Incision Approach and Early Rehabilitation in a Complicated Bicondylar Tibial Plateau Fracture: A Case Report .

AU - Affatato, Maria Ulderico Saverio

AU - Montalti, Maurizio

AU - Masetti, Claudio

AU - Giardina, Federico

AU - Sudanese, Alessandra

PY - 2017/4/26

Y1 - 2017/4/26

N2 - The main goal of this case was to report the treatment of bicondylar fractures of the tibial plateau and the restoration of the metaphyseo-diaphyseal dissociation.CLINICAL PRESENTATION AND INTERVENTION:A 54-year old man who was cycling had a road accident that caused a closed fracture of the right tibial plateau and proximal fibula diagnosed by x-rays. Patient had surgical procedure and was immobilized with a long-leg splint for 4 weeks. After immobilization, aggressive rehabilitation was done. Progressive quadriceps strengthening, movements to improve symmetrical weight bearing, and functional activities were performed. The patient improved muscle strength and obtained high scores for gait and balance, in a relatively short time.CONCLUSION:In this report, a bicondylar tibial fracture treated with a 2-incision approach and a double plate osteosynthesis, provided a strong fracture stabilization and thereby, allowed an early mobilization with aggressive rehabilitation.

AB - The main goal of this case was to report the treatment of bicondylar fractures of the tibial plateau and the restoration of the metaphyseo-diaphyseal dissociation.CLINICAL PRESENTATION AND INTERVENTION:A 54-year old man who was cycling had a road accident that caused a closed fracture of the right tibial plateau and proximal fibula diagnosed by x-rays. Patient had surgical procedure and was immobilized with a long-leg splint for 4 weeks. After immobilization, aggressive rehabilitation was done. Progressive quadriceps strengthening, movements to improve symmetrical weight bearing, and functional activities were performed. The patient improved muscle strength and obtained high scores for gait and balance, in a relatively short time.CONCLUSION:In this report, a bicondylar tibial fracture treated with a 2-incision approach and a double plate osteosynthesis, provided a strong fracture stabilization and thereby, allowed an early mobilization with aggressive rehabilitation.

KW - Bicondylar tibial fracture

KW - AO classification

KW - Rehabilitation

U2 - 10.1159/000476067

DO - 10.1159/000476067

M3 - Article

VL - 26

SP - 387

EP - 389

JO - Medical Principles and Practice

JF - Medical Principles and Practice

SN - 1011-7571

IS - 4

ER -

Double Incision Approach and Early Rehabilitation in a Complicated Bicondylar <br>Tibial Plateau Fracture: A Case Report <br> <br>.

Abstract

Keywords

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