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Temporary Fixation Using a Long Femoral-tibial Nail to Treat a Displaced Medial Tibial Plateau Fracture in a 90-year-old Patient: A Case Report.

Batta, V; Sinha, S; Trompeter, A (2017) Temporary Fixation Using a Long Femoral-tibial Nail to Treat a Displaced Medial Tibial Plateau Fracture in a 90-year-old Patient: A Case Report. J Orthop Case Rep, 7 (4). pp. 36-38. ISSN 2250-0685 https://doi.org/10.13107/jocr.2250-0685.840
SGUL Authors: Trompeter, Alex Joel

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Abstract

Introduction: Tibial plateau fractures are complex injuries in the elderly population. When traditional methods of fixation are not suitable, an alternative method needs to be chosen for a favorable outcome. We demonstrate a previously undescribed treatment for displaced tibial plateau fractures in the very elderly with poor soft-tissue integrity. Case Report: A 90-year-old woman suffered an open, Gustilo Grade IIIA, displaced fracture of the tibial plateau. An intramedullary knee arthrodesis, the femoral-tibial nail was used to temporarily stabilize her fracture. She was able to weight bear immediately postfixation. Conclusion: A long femoral-tibial nail allows favorable fracture and soft tissue healing, ease of nursing and immediate full weight-bearing. It shows good promise and should be considered as a management option when traditional methods are not applicable in select patients.

Item Type: Article
Additional Information: This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: Arthrodesis, Elderly, Femorotibial nail, Tibial plateau fracture
SGUL Research Institute / Research Centre: Academic Structure > Institute of Medical & Biomedical Education (IMBE)
Journal or Publication Title: J Orthop Case Rep
ISSN: 2250-0685
Language: eng
Dates:
DateEvent
July 2017Published
Publisher License: Creative Commons: Attribution-Noncommercial 3.0
PubMed ID: 29181350
Go to PubMed abstract
URI: http://openaccess.sgul.ac.uk/id/eprint/109364
Publisher's version: https://doi.org/10.13107/jocr.2250-0685.840

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