Ep.5: orthohub ODM: Shatzker VI tibial plateau - educational video for orthopaedic surgeons

Find a comfy chair, sit back and get the latest from orthohub’s fifth #ODM episode in the proximal tibia series and our second session with our guest Alex Trompeter - this time covering a Shatzker VI plateau fracture.
Watch Alex and Pete discuss case-based planning, management and execution.
Shatzker VI plateau fracture is high energy but the configuration is fairly simple articular with a comminuted metaphysis.
We discuss:
- the early and temporising management and whether to fix the articular block acutely.
- fixation strategies and different bridging constructs
- how to deal with a fractured tuberosity
- how to avoid a sagittal plane mismatch (of posterior slope)
- how to be sure of your fluoroscopy intra-op.
All in meticulous detail, step-by-step, ODM-style.
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#orthohub #educationvideoforsurgeons #orthopaedicsurgeons #orthopaedicdecisionmaking #ShatzkerVI
About Us:
Founded by a group of orthopaedic surgeons, orthohub provides free innovative interactive orthopaedic education for all. At orthohub we want to shape the future of orthopaedic education through learning how and why decisions are made and the tips and tricks of operating. The art of surgery is more than just knowing how to do something, it's knowing the simple steps that make for better results. Learn more about orthohub at orthohub.xyz/.

[@peterbates1435]

We had a question posted: Hi.... thanks for great tutorial..... in bicondylar fractures with posteromedial and posterolateral fragments with needed anterior fixation like your example.... from where do u look into the joint surface posterior or anterior?? Pete's response: The lateral joint line is best viewed from the front. The view of either joint line from a posterior approach is limited due to the soft tissue constraints. So your anterolateral approach takes you down onto Gerdy's Tubercle, at which point you can release the capsule off the prox tibia and elevate the meniscus (usually on a stay suture). Supplementing this with some varus across the knee usually gives a lovely peek into the joint to show the damage.

[@peterbates1435]

If you're coming in through the fracture anteriorly (the front door analogy) the depressed part of the joint appears there in front of you, as you come in via the fracture.

[@julientrooper2536]

amaizng!