FC Orth(SA) Final Practice Questions - Fellowship Of The College Of Orthopaedic Surgeons Of South Africa Final Examination FC Orth(SA) Final Exam

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A 45-year-old male sustains a Schatzker Grade VI comminuted bicondylar tibial plateau fracture with severe soft tissue compromise and skin blistering. What is the safest surgical strategy?

Immediate open reduction and internal fixation with dual locking plates Joint-spanning knee external fixation and delayed definitive ORIF once soft tissue wrinkling occurs Primary total knee arthroplasty with long modular stems Non-operative treatment in a above-knee plaster cast for 8 weeks

Correct Answer:

Joint-spanning knee external fixation and delayed definitive ORIF once soft tissue wrinkling occurs

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