We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
An extended anterolateral approach for posterolateral tibial plateau fractures.
- Authors
Chen, Hong-Wei; Zhou, Sheng-Hu; Liu, Guo-dong; Zhao, Xiang; Pan, Jun; Ou, Shan; Fei, Jun
- Abstract
<bold>Purpose: </bold>The best approach for treating posterolateral tibial plateau fractures remains controversial. The clinical results of an extended anterolateral approach on such fractures are discussed in this study.<bold>Methods: </bold>Between 2010 and 2011, ten patients with posterolateral tibial plateau fracture were treated using an extended anterolateral approach with a proximal tibial locking compression plate. The epidemiological data, operation details, and clinical outcomes over 26.4 ± 2.3 months (range 24-30 months) of follow-up were prospectively collected and analyzed.<bold>Results: </bold>The average surgical duration was 91.5 ± 18.7 min (range 80-130 min). An anatomic reduction rate of 90 % (9/10) was observed although one patient with a lateral comminuted fracture and dislocation presented a 2-mm joint surface depression postoperatively. The average fracture healing time was 10.6 ± 1.8 weeks (range 8-14 weeks), with an average hospital for special surgery knee score of 95.3 ± 6.5 points (range 80-100 points), an average knee flexion of 119.8° ± 17.2° (range 95°-140°) and an average knee extension of 2.1° ± 2.1° (range 0°-6°). No complications were found.<bold>Conclusions: </bold>The extended anterolateral approach with a proximal tibial compression plate offers direct and complete surgical exposure and may provide an effective method for the surgical treatment of posterolateral tibial plateau fractures.<bold>Level Of Evidence: </bold>Therapeutic, Level IV.
- Subjects
TIBIAL plateau fractures; POSTEROLATERAL corner; TREATMENT of fractures; EPIDEMIOLOGICAL research; FOLLOW-up studies (Medicine); TIBIA surgery; FRACTURE fixation; LONGITUDINAL method; ORTHOPEDIC implants; TIBIA injuries
- Publication
Knee Surgery, Sports Traumatology, Arthroscopy, 2015, Vol 23, Issue 12, p3750
- ISSN
0942-2056
- Publication type
journal article
- DOI
10.1007/s00167-014-3304-y