Posterolateral transfibular approach to tibial plateau fractures: technique, results, and rationale

Journal of Orthopaedic Trauma
Lucian B SolomonAnthony P Pohl

Abstract

We describe a posterolateral transfibular neck approach to the proximal tibia. This approach was developed as an alternative to the anterolateral approach to the tibial plateau for the treatment of two fracture subtypes: depressed and split depressed fractures in which the comminution and depression are located in the posterior half of the lateral tibial condyle. These fractures have proved particularly difficult to reduce and adequately internally fix through an anterior or anterolateral approach. The approach described in this article exposes the posterolateral aspect of the tibial plateau between the posterior margin of the iliotibial band and the posterior cruciate ligament. The approach allows lateral buttressing of the lateral tibial plateau and may be combined with a simultaneous posteromedial and/or anteromedial approach to the tibial plateau. Critically, the proximal tibial soft tissue envelope and its blood supply are preserved. To date, we have used this approach either alone or in combination with a posteromedial approach for the successful reduction of tibial plateau fractures in eight patients. No complications related to this approach were documented, including no symptoms related to the common peroneal nerve, an...Continue Reading

References

Sep 1, 1988·The American Journal of Sports Medicine·J I WaldropJ C Hughston
Oct 24, 2002·The Journal of Trauma·Ali OznurA Mazhar Tokgözoğlu
Jan 29, 2005·Journal of Orthopaedic Trauma·DuWayne A Carlson

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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
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
Jan 21, 2018·Archives of Orthopaedic and Trauma Surgery·Wich OrapiriyakulChanakarn Phornphutkul
May 4, 2017·EFORT Open Reviews·Salvi Prat-Fabregat, Pilar Camacho-Carrasco
Sep 14, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Hong-Wei ChenJun Fei
Oct 15, 2013·Journal of Orthopaedic Trauma·Adam A SassoonS Andrew Sems
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
Dec 28, 2017·International Orthopaedics·Shi-Min ChangXi-Zhou Yao
Jul 9, 2020·Journal of Orthopaedic Trauma·Brock FosterWilliam T Obremskey
Jul 20, 2017·International Orthopaedics·Juriaan van den BergHarm Hoekstra
May 8, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Anil Murat OzturkKemal Aktuglu
Nov 10, 2020·The Journal of Knee Surgery·Vincenzo GiordanoPeter V Giannoudis

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