- See:
-
Medial Tibial Plateua Fractures:
- Discussion:
- on medial side, plate is applied to anteromedial face of proximal metaphysis
deep to
pes anserinus & anterior fibers of
MCL;
- Incision:
- incision begins over medial femoral condyle, continues anterodistally
then crosses the joint line near the medial edge of the patellar
tendon, and extends posterodistally for several centimeters;
- arthrotomy of knee is not performed, if only tibial flare needs to be exposed;
- the tibial flare and the fracture are exposed subperiosteally;
- attachments of
Pes anserinus from tibia are divided to allow sufficient
exposure for application of plate;
- superifial
MCL insertion is preserved;
- w/ knee flexed, tendons & medial collateral ligament move posteriorly,
allowing maximum exposure of the flare;
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Post Operative Care and Compications:
