title: Intraoperative fabrication of bone tamps for indirect reduction of depressed articular segments.
abstract: The use of bone tamps for indirect reduction of depressed articular segments is an established method of treatment for intra-articular fractures in a variety of joint injuries. Customized bone tamps can be fabricated intraoperatively using commonly available instruments and supplies consisting of Steinmann pins and T-handled chucks. The technique combines the use of bone tamps through carefully created metaphyseal windows, fluoroscopic guidance, packing with cancellous bone, and adequate fixation. This treatment methodology can allow for a minimally invasive or soft tissue preserving approach for the treatment of some intra-articular fractures while achieving anatomic reduction of the joint surface.
authors.affiliation: Department of Orthopaedics, Womack Army Medical Center, 2817 Reilly Rd, Fort Bragg, NC 28307, USA. joe.eichinger@gmail.com
authors.forename: Josef K
authors.initials: JK
authors.lastname: Eichinger
authors.forename: Daphne
authors.initials: D
authors.lastname: Beingessner
mesh_terms: D000328:Adult; D001265:Athletic Injuries; D001858:Bone Nails; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods; D017102:Fracture Healing; D006801:Humans; D020007:Implants, Experimental; D057072:Intra-Articular Fractures / Q000601:surgery*; D007430:Intraoperative Care / Q000379:methods*; D007718:Knee Injuries / Q000601:surgery*; D007719:Knee Joint / Q000503:physiopathology / Q000601:surgery; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D011312:Pressure; D011474:Prosthesis Design; D016059:Range of Motion, Articular; D013314:Stress, Mechanical; D013977:Tibia / Q000293:injuries / Q000601:surgery; D016474:Weight-Bearing