How Easy It to Displace a Tibial Plateau Fracture Again
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(OBQ18.212) A patient presents with the injury shown in figures A and B. What has been associated with the technique depicted in figures C and D?
QID: 213108
2
Increased deep surgical infection rates
iii
Unacceptably high malunion/nonunion rates
4
Slower early return to function
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(OBQ16.128) Which of the post-obit is the almost significant risk factor for lateral meniscal tears associated with lateral tibial plateau fractures?
QID: 8890
3
Ipsilateral calcaneus fracture
4
Greater than 10mm of articular low
5
Schatzker I fracture pattern
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(OBQ13.156) A 44-yr-old female sustains the injury shown in Figures A and B as the result of a motor vehicle collision. She undergoes firsthand 4 compartment leg fasciotomy and placement of a spanning external fixator. A mail service-fixator CT scan image is shown in Effigy C. After allowing her soft tissues to ameliorate, the optimal definitive stabilization of this fracture is which of the following?
QID: 4791
1
Connected utilise of knee-spanning external fixator
2
Conversion of external fixator to a simple hinged knee fixator
3
Conversion to intramedullary nailing
4
Open reduction and internal fixation with a lateral locked plate
five
Open reduction and internal fixation with medial and lateral plates
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(OBQ13.102) Which of the following injuries is most probable associated with the fracture seen in Effigy A?
QID: 4737
3
Lateral collateral ligament rupture
4
Medial collateral ligament rupture
5
Posterior cruciate ligament rupture
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(OBQ13.132) An ankle-brachial index is most commonly indicated later on sustaining which of the following fracture patterns, seen in Figures A-E?
QID: 4767
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(SBQ12TR.21) A 35-year-one-time female presents with the orthopaedic injuries shown in Figures A-D following a high-speed motor vehicle standoff. She is likewise found to have a right-sided diaphragmatic hernia (Figure E) and a stable subarachnoid hemorrhage. The femoral and tibial plateau fractures are open with no gross contamination, and there is an ipsilateral Morel-Lavelle lesion of the left thigh. What is the most advisable initial management of the patient's injuries in addition to debridement and irrigation of the open injuries?
QID: 3936
i
Awarding of a knee immobilizer, splinting of the ankle and forearm
2
External fixation of the femur and tibial plateau, splinting of the ankle and forearm
three
Retrograde intramedullary nailing of the femur, limited internal fixation of the tibial plateau, splinting of the ankle and forearm
4
External fixation of the femur, ORIF of the tibial plateau, splinting of the talocrural joint and forearm
5
Retrograde intramedullary nailing of the femur, ORIF of the tibial plateau, ORIF of the ankle and forearm
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(SBQ12TR.100) Figure A shows an acute, isolated and closed, left knee injury in a xl-year-old male struck by a motor vehicle. What would be the well-nigh appropriate surgical fixation for this injury?
QID: 4015
one
Definitive external fixation
2
Temporary external fixation then lateral percutaneous screws
three
Lateral nonlocking plate +/- bone graft substitutes
four
Medial and lateral locking plate +/- bone graft substitutes
v
Lateral percutaneous screws with assisted arthroscopy
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(OBQ12.209) A 32-year-old male sustains the injury shown in Figures A through D as the result of a loftier-speed motorcycle collision. He initially undergoes spanning external fixation and returns to the function for soft tissue evaluation prior to his definitive surgery. During this visit, you discuss that the most appropriate fixation is which of the following?
QID: 4569
one
Lateral precontoured locked plating
2
Posterior buttress plating
four
Anterolateral and posteromedial plating
5
Posterolateral neutralization plating
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(OBQ12.139) A 45-year-sometime patient sustains the injury shown in figure A. What radiographic finding most highly suggests a lateral meniscal injury?
QID: 4499
two
Ipsilateral femoral shaft fracture
4
Ipsilateral tibial shaft fracture
5
Displaced tibial spine fracture
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(OBQ12.261) A 23-twelvemonth-old healthy male was involved in a motor vehicle collision and sustained the injury seen in Effigy A. Physical examination later on ORIF of the plateau fracture revealed a Course 3 Lachman, varus laxity at both 0 and 30 degrees of knee flexion, and 15 degrees of external rotation disproportion at thirty degrees of knee flexion. Which of the post-obit structures (indicated with asterisk*) must exist surgically repaired to restore stability to the articulatio genus?
QID: 4621
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(OBQ12.22) A 32-year-former man sustains the knee injury seen in Figure A after falling from a ladder. Which of the following options is the well-nigh biomechanically stable and appropriate definitive surgical treatment?
QID: 4382
i
Spanning knee external fixation
2
Lateral plateau locking plate
3
Posteromedial locking plate
iv
Lateral plateau percutaneous lag screws and posteromedial plate
5
Lateral plateau and posteromedial plating
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(OBQ11.212) Which of the following tibial plateau fractures would be almost appropriately treated by buttress plating alone?
QID: 3635
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(OBQ11.71) A 38-year-old male suffers the injury shown in Figure A. During operative fixation, free osteoarticular fragments are encountered and reconstruction of these pieces is attempted. Postoperatively, which of the post-obit will have the most benign effect on the healing potential of the surviving chondrocytes inside these reconstructed articular segments?
QID: 3494
ane
Gentle compressive loading of the afflicted joint through early range of motion exercises
ii
Strict articulation immobilzation for three weeks
3
Shear loading of the affected joint
iv
Joint lark with a spanning external fixator for 3 weeks
5
Glucosamine chondroitin sulfate supplementation
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(OBQ10.158) A 58-year-erstwhile human being injures his knee joint in a high-speed motor vehicle collision. Radiographs and CT are shown in Figures A through C. What is the most advisable surgical plan based on the images provided?
QID: 3246
one
ORIF with medial and lateral plating with grafting of metaphyseal defect
2
ORIF with lateral plating with grafting of metaphyseal defect
four
ORIF with lateral plating
five
Percutaneous articular fragment reduction and screw fixation
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(OBQ10.175) A 21-twelvemonth-old male sustains the injury shown in Figures A through D. Which of the following is the most advisable definitive treatment of this injury?
QID: 3268
ane
Spanning external fixation
4
Posteromedial buttress plate
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(OBQ10.65) Vascular complications are nearly commonly seen with which of the following fractures almost the knee joint?
QID: 3152
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(OBQ10.176) Lipohemarthrosis of the knee is most likely secondary to which of the following?
QID: 3269
1
Seronegative monoarticular arthritis
4
Medial patellofemoral ligament rupture
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(OBQ09.86) A 53-twelvemonth-old man sustains the injury seen in figure A and later undergoes open up reduction and internal fixation. What variable volition most significantly increase his charge per unit of degenerative arthritis in the long-term?
QID: 2899
ane
Postoperative joint stepoff
2
Alteration of limb mechanical centrality
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(OBQ09.166) A big posteromedial tibial plateau fracture pattern, as seen with the bicondylar tibial plateau fracture shown in Figures A and B, is of import to recognize because of which of the following factors?
QID: 2979
one
Association with posteromedial corner of the knee injury
2
Association with anterior tibial artery injury
3
Possible need for dual plate fixation
4
Possible demand for single extensile inductive approach to the knee joint
5
Increased risk of deep venous thrombosis
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(OBQ09.118) A 56-year-erstwhile carpenter sustains the closed injury seen in Figures A, B, and C. After temporary spanning external fixation is performed and soft tissue weather condition improve, what strategy provides the optimal fixation for this fracture design?
QID: 2931
1
Anatomic lateral locking plate
2
Posteromedial and lateral plates
3
Anatomic medial locking plate
four
Conversion of the spanning external fixator to a hinged external fixator
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(OBQ09.182) In an uninjured proximal tibia which statement best describes the shape and position of the medial tibial plateau relative to the lateral tibial plateau?
QID: 2995
1
More than concave and more proximal
2
More convex and more than proximal
three
More than concave and more distal
4
More convex and more than distal
5
Symetric in conture and more than distal
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(OBQ09.128) In treating a lateral split-depression blazon tibial plateau fracture, which of the following adjuncts has been shown to have the to the lowest degree articular surface subsidence when used to make full the bony void?
QID: 2941
1
Crushed cancellous allograft
5
Bisected diaphyseal humeral allograft
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(OBQ09.245) Buttress plating is near advisable in which of the following clinical situations?
QID: 3058
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(OBQ08.70) A xl-twelvemonth-old female sustains the injury seen in Effigy A. What other associated soft-tissue knee injury is most usually associated with this fracture?
QID: 456
i
Anterior cruciate ligament midsubstance tear
2
Horizontal cleavage lateral meniscus tear
3
Peripheral lateral meniscus tear
four
Lateral collateral ligament and popliteofibular ligament tear
five
Lateral meniscus posterior root avulsion
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(OBQ08.51) Based on the post-obit radiographs of tibial plateau fractures, which 1 is most likely to have a concomitant medial meniscus tear?
QID: 437
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(OBQ08.14) When elevating the joint surface in the injury pattern seen in Effigy A, what textile has the highest compressive forcefulness when filling the metaphyseal void?
QID: 400
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(OBQ06.245) A 35-year-old male person sustains a closed Schatzker Six tibial plateau fracture. Two weeks following external fixation, examination reveals intact sensation, palpable pulses and no soft tissue compromise. An centric CT prototype is shown in Figure A. What is the optimal surgical program?
QID: 256
1
Medial and lateral plate fixation through two approaches
2
Medial and lateral plate fixation through a single anterior approach
3
Lateral locking plate fixation
4
Continued external fixation until union
five
Multiplanar transarticular external fixator
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(OBQ05.118) A 28-year-old human is thrown from his motorbike and sustains the closed injury seen in Figure A. The limb remains neurovascularly intact. What is the most appropriate initial handling of this injury?
QID: 1004
2
Open reduction and internal fixation
3
Closed intramedullary nailing
4
Spanning external fixation
5
Hinged spanning external fixation
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(OBQ05.xiv) A 35-year-old male sustains the fracture seen in Figures A and B. Which of the following substances has been shown to issue in the least radiographic subsidence when combined with open reduction and internal fixation?
QID: 51
one
Cancellous allograft bone chips
3
Femoral intramedullary reamings
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(OBQ05.113) A 69-year-one-time female sustains the injuries seen in Figures A and B. This injury is best classified as which of the following?
QID: 999
1
Schatzker type I tibial plateau fracture
2
Schatzker type Iii tibial plateau fracture
three
Schatzker type 4 tibial plateau fracture
iv
Schatzker type V tibial plateau fracture
5
Schatzker blazon Half dozen tibial plateau fracture
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(OBQ04.88) A 27-twelvemonth-old male is involved in a motor vehicle accident and sustains the injury shown in Figures A through Eastward. The articular surface is depressed 2 mm while at that place is iii mm of condylar widening. Valgus instability of the articulatio genus is noted. Which of the following is most of import to long-term success in surgical treatment of this case?
QID: 1193
1
Restoration of joint stability
2
Repair of associated meniscal pathology
three
Surgical fixation within 48 hours of injury
4
Correction of the articular low
5
Tibial condylar diastasis < 3 mm
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