RESUMO
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.
Assuntos
Fixação Interna de Fraturas , Procedimentos Cirúrgicos Minimamente Invasivos , Lesões dos Tecidos Moles/cirurgia , Fraturas da Tíbia/cirurgia , Placas Ósseas , Fios Ortopédicos , Fixação Interna de Fraturas/métodos , Fixação Interna de Fraturas/tendências , Consolidação da Fratura , Humanos , Escala de Gravidade do Ferimento , Procedimentos Cirúrgicos Minimamente Invasivos/tendências , Fraturas da Tíbia/fisiopatologia , Resultado do TratamentoRESUMO
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).
