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Fig. 1 | BMC Musculoskeletal Disorders

Fig. 1

From: Outcome after polyaxial locking plate osteosynthesis in proximal tibia fractures: a prospective clinical trial

Fig. 1

This figure shows an exemplary case of a 64-year old patient treated with a NCB-PT® system. The patient suffered from a AO type 41-C proximal tibia fracture (a-b) after a skiing accident. Initial fixation with an external fixator allowed the soft tissue to consolidate. Due to soft tissue concerns, a staged procedure was chosen for definitive reconstruction. In the first step we conducted a plate osteosynthesis after reduction from posteromedial with a Synthes LCP and the patient in prone position. For the second step we performed a standard anterolateral approach. After a horizontal arthrotomy and visualisation of the entire lateral plateau we elevated the central indented fragment and supported it with an allogeneic cancellous bone graft. After reaching a satisfactory reduction of the lateral compartment we inserted a 7-hole NCB-PT® plate as well as two proximal 4.0 mm lag screws. In a final step we performed a refixation of the tibial tuberosity with two 4.0 mm lag screws The presented images show the postoperative radiologic controls after the final surgery (c) and the image of our radiologic follow-up one year after surgery for NCB-PT® patients (d)

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