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Shat Kriyakala in surgical practice
PROXIMAL TIBIAL FRACTURES
Specific Fracture Type | Etiology | Fracture Mechanism | Clinical Features | Investigations / Imaging | Conservative Management | Surgical Management | Prognosis |
|---|---|---|---|---|---|---|---|
Tibial Plateau Fracture (Schatzker I–VI) | RTA, fall from height, sports injury, osteoporosis | Axial compression with varus/valgus force | Knee pain, swelling, hemarthrosis, inability to bear weight, instability | X-ray knee (AP, lateral), CT scan (gold standard), MRI for ligament injury | Undisplaced/stable: hinged knee brace, NWB | ORIF with buttress plates/screws, external fixator for severe soft tissue injury | Guarded; high risk of post-traumatic OA |
Tibial Condyle Fracture (Medial/Lateral/Bicondylar) | Direct trauma, fall | Varus/valgus stress | Localized condylar tenderness, deformity, instability | X-ray knee, CT scan | Cast/brace if stable | ORIF | Depends on articular reduction |
Intercondylar Eminence (Tibial Spine) Fracture | Sports injury (children/young adults) | Avulsion by ACL | Pain, knee effusion, instability | X-ray, MRI | Immobilization if minimally displaced | Arthroscopic fixation | Good if early treated |
Proximal Metaphyseal Fracture | Low-energy falls, osteoporosis | Bending forces | Pain, swelling, deformity | X-ray knee & leg | Cast immobilization | ORIF | Good |