Navigation for lower limb alignment during internal fixation of complex tibial-plateau fractures

Navigation for lower limb alignment during internal fixation of complex tibial-plateau fractures In complex fractures of the proximal tibial metaphysis and epiphysis, possible adverse outcomes after internal fixation include not only joint surface incongruity, but also lower limb malalignment requiring revision surgery. Navigation has been proven effective for the intraoperative control of lower limb alignment during osteotomy and knee arthroplasty. In complex traumatic fractures, temporary fixation by a locking screw plate allows sensor positioning followed by navigation maneuvers to adjust lower limb alignment. If malalignment is found, the construct can be modified economically by altering the diaphyseal fixation without modifying the metaphyseal screws. The objective of this study was to describe the use of navigation in three patients who required internal fixation of tibial-plateau fractures. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Orthopaedics & Traumatology: Surgery & Research Elsevier

Navigation for lower limb alignment during internal fixation of complex tibial-plateau fractures

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Publisher
Elsevier
Copyright
Copyright © 2018 Elsevier Masson SAS
ISSN
1877-0568
eISSN
1617-3538
D.O.I.
10.1016/j.otsr.2018.03.006
Publisher site
See Article on Publisher Site

Abstract

In complex fractures of the proximal tibial metaphysis and epiphysis, possible adverse outcomes after internal fixation include not only joint surface incongruity, but also lower limb malalignment requiring revision surgery. Navigation has been proven effective for the intraoperative control of lower limb alignment during osteotomy and knee arthroplasty. In complex traumatic fractures, temporary fixation by a locking screw plate allows sensor positioning followed by navigation maneuvers to adjust lower limb alignment. If malalignment is found, the construct can be modified economically by altering the diaphyseal fixation without modifying the metaphyseal screws. The objective of this study was to describe the use of navigation in three patients who required internal fixation of tibial-plateau fractures.

Journal

Orthopaedics & Traumatology: Surgery & ResearchElsevier

Published: Jun 1, 2018

References

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