Meet the editors

Dr. Dimitrios D. Nikolopoulos (MD, PhD) is a sports medicine-specialized orthopedic surgeon and arthroscopist. He focuses on sports injuries and mainly in shoulder, hip, knee, foot, and ankle pathology. He has performed arthroscopic restoration of hip, knee, and ankle cartilage, as well as treatment and surgical correction of foot disorders. He has published 42 original scientific articles in prestigious scientific journals in the

United States, Europe, and Greece referring to knee (valgus knee) and shoulder (arthroscopic and minimally invasive new techniques) surgery, osteoporotic spine and hip fractures, and research into the in vitro environment of bone and cartilage metabolism. He has more than 180 citations in research projects on valgus knee and cartilage ankle restoration. He has also presented over 180 oral and poster presentations internationally.

Dr. George K. Safos (MD) specializes in orthopedic surgery and traumatology with interest in sports medicine (knee, hip, ankle, elbow, and shoulder arthroscopic surgery) as well as total hip and knee replacement surgery. As a well-published doctor, he now serves as a medical orthopedic consultant and primary doctor to various athletic teams, dance groups, as well as foreign diplomatic missions. He is a graduate of Athens University Medical School

and completed his residency in orthopedic surgery and traumatology at the General Hospital of Asklepeion Voulas. He then completed two fellowships in the United States, namely at the National Institutes of Health (NIH) in Bethesda, Maryland, as well as at the University of Miami-Orthopedic Department. A postgraduate degree in Tissue Banking at the National University of Singapore with a United Nations scholarship soon followed.

Dr. John Michos has been Director of the 4th Orthopaedic Department in Asklepion Voulas Hospital since 2004. He studied in Athens University Medical School and qualified as an orthopedic surgeon in 1985. He worked in UK hospitals from 1985 to 1989 and thereafter in the Asklepion Voulas Hospital in Athens. His special interest is knee surgery, including arthroplasty and ligament reconstruction surgery. He established the Sports Medicine

Clinic of Asklepion Voulas Hospital. He also served as President of the Hellenic Orthopaedic Association in 2011.

Contents

**Section 1**

Tibial Plateau Fracture

*by Reiner Wirbel*

Intramedullary Nails

*and Abdullah M. Kaki*

High Tibial Osteotomy

**Section 2**

**Section 3**

Plateau Fractures of Type Moore V

**Preface XI**

Intra-Articular Tibia Fractures **1**

**Chapter 1 3**

**Chapter 2 37**

**Chapter 3 51**

Non-Articular Tibia Fractures **67**

**Chapter 4 69**

Arthroplasty **85**

**Chapter 5 87**

**Chapter 6 109**

*by Christian M. Schmidt II, Jan P. Szatkowski and John T. Riehl*

Surgical Approaches and Leg Positions for Tibial Plateau Fractures *by Katsimentzas Triantafyllos, Tryfon Ditsios and Kostantinos Ditsios*

Midterm Results of Quality of Life after Surgical Treatment of Tibial

Far Proximal and Far Distal Tibial Fractures: Management with

Suggestions for Therapy (Conservative or Surgical) before Joint

The Regenerative Effect of Intra-Articular Injection of Autologous Fat Micro-Graft in Treatment of Chronic Knee Osteoarthritis *by Sabah S. Moshref, Yasir S. Jamal, Amro M. Al-Hibshi* 

*by Tuna Pehlivanoglu, Kerem Yildirim and Tahsin Beyzadeoglu*

*by Luis Bahamonde, Alvaro Zamorano and Pierluca Zecchetto*

## Contents


Preface

The tibia is the long bone located in the lower leg between the knee and foot. Tibial fractures are common and usually caused by an injury or repetitive strain on the bone. The severity and type of fracture may vary and needs immediate therapy usually operative—especially the intraarticular fractures of the knee or the ankle (plateau or platform fractures). Variation on the anatomical or mechanical axis of the tibia may cause knee or ankle arthritis in the middle or long follow-up period. Open reduction and internal fixation are the gold standard for proximal or distal tibial fractures, whereas conservative (injections) or surgical (high tibia osteotomy)

**Dr. Dimitrios D. Nikolopoulos**

Central Clinic of Athens,

**Dr. George K. Safos (MD)** Central Clinic of Athens,

**Dr. John Michos (MD, PhD)** 

Greece

Greece

Greece

President of Foundation of Orthopaedic Research and Training,

Director of 4th Orthopaedic Clinic of Asklepion Voulas Hospital,

therapies also offer primary arthritic changes before joint replacement.
