Previous Episode: Marine Injuries

When there is a severely comminuted fracture of the distal femur in an older individual one usually considers a DFR.  When the tibial plateau fractures we typically think either conservative care or ORIF.  Occasionally patients may benefit from a TKA.  This does require some special care to allow the tissue envelope to heal, to allow some early bone consolidation and to be able to comfortably use augments and other revision TKA components.  I encourage you to search up studies and familiarize yourself with this topic so that you can consider it next time you see a patient with this injury pattern.

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