ABSTRACT
The management of complex tibial plateau fractures is ever evolving. The severity of the injury to the surrounding soft tissues influences the timing and the method of fixation. Minimal invasive techniques continue to dominate our philosophy of reduction and reconstruction whereas augmentation of depressed intra-articular fragments remains an accepted strategy to maintain reduction and prevent secondary collapse. Locking plates, conventional plates and fine wire fixators all have been used successfully with satisfactory outcomes. In this article we report on the latest advances made in the management of these complex injuries.
Subject(s)
Fracture Fixation, Internal , Minimally Invasive Surgical Procedures , Soft Tissue Injuries/surgery , Tibial Fractures/surgery , Bone Plates , Bone Wires , Fracture Fixation, Internal/methods , Fracture Fixation, Internal/trends , Fracture Healing , Humans , Injury Severity Score , Minimally Invasive Surgical Procedures/trends , Tibial Fractures/physiopathology , Treatment OutcomeABSTRACT
We report the synthesis of a thermally stable, highly loaded (15 wt.%) Cu/Ce bimetallic mesoporous silica with high surface area and metal dispersion, which was the first template assisted mesoporous network successfully tested for the simultaneous reduction of SO2 and NO with CO, achieving complete conversion of the reactants to elemental sulfur and N2 at high space velocity 32,000 h(-1).