title: [Clinical practice guideline on closed tibial plateau fractures in adulthood].
abstract: Closed tibiae plateau fractures are common injuries in the emergency room. The optimal treatment is not well defined or established. For this reason, there are several surgical management options: open reduction and internal fixation, closed reduction and percutaneous synthesis, external fixation, and even conservative treatment for this kind of fracture. The mechanism of production of this fracture is through large varus or valgus deformation to which is added a factor of axial load. The trauma may be direct or indirect. The degree of displacement, fragmentation and involvement of soft tissues like ligaments, menisci, vascular and nerve structures are determined by the magnitude of the force exerted. Any intra-articular fracture treatment can lead to an erroneous instability, deformity and limitation of motion with subsequent arthritic changes, leading to joint incongruity, limiting activity and significantly altering the quality of life. Open reduction and internal fixation with anatomic restitution is the method used in this type of fracture. However, the results of numerous publications can be questioned due to the inclusion in the same study of fractures treated with very different methods.
authors.affiliation: Hospital Regional de Zona 2, Distrito Federal, Instituto Mexicano del Seguro Social, Mexico. abigail.valenzuela@imss.gob.mx.
authors.forename: Miguel Ángel
authors.initials: MÁ
authors.lastname: Ocegueda-Sosa
authors.forename: Adriana Abigail
authors.initials: AA
authors.lastname: Valenzuela-Flores
authors.forename: Víctor Daniel
authors.initials: VD
authors.lastname: Aldaco-García
authors.forename: Sergio
authors.initials: S
authors.lastname: Flores-Aguilar
authors.forename: Nicolás
authors.initials: N
authors.lastname: Manilla-Lezama
authors.forename: Jorge
authors.initials: J
authors.lastname: Pérez-Hernández
mesh_terms: D005596:Fractures, Closed / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D013978:Tibial Fractures / Q000175:diagnosis* / Q000628:therapy*
keywords: arthrosis; artrosis; fracturas de la tibia; tibial fractures