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  • Title: Severely comminuted bicondylar tibial plateau fractures in geriatric patients: a report of 2 cases treated with open reduction and postoperative external fixation.
    Author: Krappinger D, Struve P, Smekal V, Huber B.
    Journal: J Orthop Trauma; 2008 Oct; 22(9):652-7. PubMed ID: 18827597.
    Abstract:
    We present 2 cases of C3-type fractures of the tibial plateau in geriatric patients. Our treatment concept--in particular the use of postoperative external fixation--is not yet described in the recent literature and includes initial external fixation, internal fixation after soft tissue consolidation using a median incision, filling of the metaphyseal comminution zone with allogenic cancellous bone obtained from a femoral head, anteromedial and anterolateral fixed-angle double plating, and external fixation postoperatively until osseous healing. The described treatment plan does not provide a valid alternative for the treatment of bicondylar fractures in younger patients. It may be an option for the treatment of C3-type fractures in geriatric patients only.
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