Posteromedial Approach to the Proximal Tibia скачать в хорошем качестве

Posteromedial Approach to the Proximal Tibia

Complex fractures of the proximal tibia often involve a large posteromedial fragment. Accurate reduction of this fragment onto the tibial shaft is critical to allow reconstruction of the joint. Plates applied to the posteromedial aspect of the tibia prevent varus deformity, the most common deformity of the proximal tibia after fracture. Biomechanically, these plates are on the compression side of the bone. Another potential advantage of the incision is that the skin and soft tissues on the posteromedial aspect of the tibia are usually free from blisters that commonly occur on the anterior portion of the tibia. However, if the soft tissues on the posteromedial aspect of the proximal tibia are poor, surgery must be delayed until the soft-tissue conditions have improved.