I find the radial butress help correct the radial translation and shortening. Also helps contain some of the comminution to fine tune the volar reduction.

#orthosky

Anyone add a radial butress for this or just volar plate?

Judging reduction quality of FNF on Fluoro can be challenging, as can be making the decision to open. #orthosky

Lateral and Posterior Medial Approach.

Reduce Posterior fracture extension anatomically with Flexible fixation

Expose medial and lateral metaphyseal crush, laminar spreaders to restore the joint line posterior slope. Lateral and Anterior Medial Plate with bone graft.

#orthosky #trauma

#Tibialplateau fracture , hypertension, varus, metaphyseal crush: Approach? Fixation? #ortho #orthosky

Post up Fluoro and 6 weeks post op

Slight rotational mal reduction introduced by the screw corrected by loosening the screw, applying pointed clamp then advancing the screw.

Smith Peterson approach, pre load k-wire and wire for a 6.5 partially threaded screw, then perform reduction and advance the wires. #orthosky #ortho #trauma

#Femoralneck Fracture in young person (17 y.o) What’s your approach? Attempted closed reduction? Straight to open?
What’s your preferred implant?