A new posterolateral approach without fibula osteotomy for the treatment of tibial plateau fractures

Journal of Orthopaedic Trauma
Karl-Heinz FroschKlaus Michael Stürmer

Abstract

The selection of a surgical approach for the treatment of tibia plateau fractures is an important decision. Approximately 7% of all tibia plateau fractures affect the posterolateral corner. Displaced posterolateral tibia plateau fractures require anatomic articular reduction and buttress plate fixation on the posterior aspect. These aims are difficult to reach through a lateral or anterolateral approach. The standard posterolateral approach with fibula osteotomy and release of the posterolateral corner is a traumatic procedure, which includes the risk of fragment denudation. Isolated posterior approaches do not allow sufficient visual control of fracture reduction, especially if the fracture is complex. Therefore, the aim of this work was to present a surgical approach for posterolateral tibial plateau fractures that both protects the soft tissue and allows for good visual control of fracture reduction. The approach involves a lateral arthrotomy for visualizing the joint surface and a posterolateral approach for the fracture reduction and plate fixation, which are both achieved through one posterolateral skin incision. Using this approach, we achieved reduction of the articular surface and stable fixation in six of seven patien...Continue Reading

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Citations

Jan 12, 2012·Archives of Orthopaedic and Trauma Surgery·Yi-Gang Huang, Shi-Min Chang
Oct 20, 2012·Archives of Orthopaedic and Trauma Surgery·Xianfeng HeCongfeng Luo
Feb 16, 2013·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Hui SunBing-Fang Zeng
Mar 19, 2016·Injury·Zinon T KokkalisElias Panagiotopoulos
Jun 8, 2012·The Journal of Trauma and Acute Care Surgery·Guang-Rong YuYun-Feng Yang
Apr 25, 2015·Orthopaedics & Traumatology, Surgery & Research : OTSR·K-C LinJ-H Renn
Aug 3, 2016·Injury·Robinson Esteves Santos PiresMarco Antônio Percope de Andrade
Jan 21, 2018·Archives of Orthopaedic and Trauma Surgery·Wich OrapiriyakulChanakarn Phornphutkul
Jun 21, 2017·EFORT Open Reviews·Michael J RaschkeChristoph Domnick
May 4, 2017·EFORT Open Reviews·Salvi Prat-Fabregat, Pilar Camacho-Carrasco
Aug 27, 2013·Journal of Orthopaedic Trauma·Karl-Heinz Frosch
Oct 15, 2013·Journal of Orthopaedic Trauma·Adam A SassoonS Andrew Sems
Sep 1, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Alexander KorthausMaximilian J Hartel
May 28, 2019·The Journal of Knee Surgery·Dong RenPengcheng Wang
Apr 30, 2017·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·G ÖzdemirA Bayramoğlu
Aug 9, 2018·BMC Musculoskeletal Disorders·Tobias M KrausSteffen Schröter
Sep 7, 2018·BMC Musculoskeletal Disorders·Zhen JianBaoqing Yu
Dec 20, 2019·The Journal of Bone and Joint Surgery. American Volume·Xuetao XieCongfeng Luo
Dec 28, 2017·International Orthopaedics·Shi-Min ChangXi-Zhou Yao

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