Description
Dr. Peter Giannoudis opens his talk by welcoming attendees of the conference and expressing delight at its growth since he last attended. He introduces the topic of complex tibial plateau fractures and outlines the objectives of his presentation. He explains the definitions of complex fractures based on the Schatzker classification, particularly focusing on types IV, V, and VI, which involve high-energy trauma and dislocations. Dr. Giannoudis emphasizes the detailed evaluation required to determine the extent of articular depression in these injuries to plan surgical interventions effectively.
He outlines key principles, including the importance of restoring the mechanical axis, achieving anatomical reduction, and considering soft tissue management. The concept of ligamentotaxis, which utilizes traction to aid in fracture reduction, is introduced. Dr. Giannoudis stresses understanding the split wedge fragment, a critical component of joint stability, and how its identification influences surgical planning.
Throughout his presentation, he reviews various case studies reflecting different fracture complexities, surgical techniques used for reconstruction, and outcomes. The emphasis is placed on the necessity of individualized treatment strategies, optimization of surgical approaches, and the development of algorithms to standardize treatment protocols for such injuries. In conclusion, he reaffirms the importance of evolving concepts in the management of tibial plateau fractures.