Tag Archives: fracture

Pearls for Internal Distraction Plating of Complex Distal Radius Fractures

Distal radius fractures are the most common type of fracture treated in emergency departments. According to Alexander H. Payatakes, M.D., Penn State Hershey Bone and Joint Institute, “The vast majority of operative distal radius fractures can be successfully treated with a volar locking plate. However, standard volar locking plates don’t perform well when the fracture extends to the diaphysis or when there are grossly comminuted fragments too small to capture with screws. Adequate stability is especially important when the patient has also sustained lower extremity fractures that will require early loading of the wrist to ambulate with a walker or crutches.” Such fractures often occur in both older patients with osteopenia, as well as a result of motor vehicle accidents. Continue reading

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The Posteromedial Tibial Plateau Fracture: New Perspectives

Photo of J. Spence Reid, M.D.

J. Spence Reid, M.D.

Fractures of the posteromedial tibial plateau are challenging to treat, owing to their complexity and unfamiliar surgical approach. J. Spence Reid, M.D., Penn State Hershey Bone and Joint Institute explains, “This fracture pattern may occur as part of a fracture-dislocation in which it is often associated with an ACL tear, or as part of a bicondylar tibial plateau fracture.” The typical fracture pattern is shown here, visualized with both a standard radiograph, and a three-dimensional computed tomography (CT) scan, (figures A and B) from one of Reid’s cases.

Figure A: Posteromedial tibial plateau fracture radiograph

Figure A: Posteromedial tibial plateau fracture radiograph
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Figure B: Posteromedial tibial plateau fracture 3D CT scan

Figure B: Posteromedial tibial plateau fracture 3D CT scan
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