Percutaneous elevation of proximal tibia depressed fractures using modified new instrument

V S Ravindranath; Ranjith Kumar Yalamanchili; Sukarna Reddy Palla; Venu Madhav Vuthpala; Anand Reddy Baddula; Praveen Singh

doi:10.1016/j.jcot.2024.102383

Percutaneous elevation of proximal tibia depressed fractures using modified new instrument

J Clin Orthop Trauma. 2024 Feb 27:50:102383. doi: 10.1016/j.jcot.2024.102383. eCollection 2024 Mar.

Authors

V S Ravindranath¹, Ranjith Kumar Yalamanchili², Sukarna Reddy Palla¹, Venu Madhav Vuthpala¹, Anand Reddy Baddula¹, Praveen Singh¹

Affiliations

¹ Department of Orthopaedics, ESIC Medical College, Sanathnagar, Hyderabad, India.
² Department of Orthopaedics, All India Institute of Medical Sciences, Bibinagar, Hyderabad, India.

PMID: 38450412
PMCID: PMC10914574 (available on 2025-02-27)
DOI: 10.1016/j.jcot.2024.102383

Abstract

Proximal tibia depression fracture often occur isolated or in conjunction with complex fracture presentations and elevation of such depression is required to retard arthritis in long term. Conventional open reduction by sub meniscal approach has many percutaneous alternatives from arthroscopy assisted reduction to balloon tibioplasty. Few authors even reported usage of PCL jig and percutaneous pins to elevate, while the primary author has previously described an instrument to elevate the depressed fragment percutaneously. With the shortcomings of the same instrument, authors have designed modifications in the same to address anterior and posterior extensions of depression without widening the metaphyseal window. In this article, we describe the size and concept of the modified design and its efficacy to address depression injuries.

Keywords: Instrument for percutaneous elevation of depression; Metaphyseal window widening; Percutaneous elevation proximal tibia depression; Percutaneous reduction internal fixation (PRIF) proximal tibia.