Treatment of isolated posterior coronal fracture of the lateral tibial plateau through posterolateral approach for direct exposure and buttress plate fixation
- 14 February 2009
- journal article
- research article
- Published by Springer Science and Business Media LLC in Archives of orthopaedic and trauma surgery
- Vol. 129 (7), 955-962
- https://doi.org/10.1007/s00402-009-0829-5
Abstract
Purpose To present a case series of patients with isolated posterior coronal fractures of lateral tibial plateau treated by direct exposure and buttress plate fixation through posterolateral approach. Methods Between May 2007 and April of 2008, eight middle aged patients were identified that had isolated posterior coronal fractures of the lateral tibial plateau. All eight patients underwent direct fracture exposure, reduction under visualization, and buttress plate fixation through posterolateral approach. Results There were 1 case of split, two cases of pure depression and five cases of split-depression fractures. Four were associated fibular head split fractures without common peroneal nerve injuries. Five patients were injured from a simple fall on riding electrical bicycle while the knee was relaxed in 90° position The articular displacement (8 cases) measured in CT scan was 10.5 mm in average (range 8–15 mm). The cortical split length (from the articular rim to the distal tip, 6 cases) was 2.8 cm in average (range 2.4–3.5 cm). The articular reduction was perfect in seven (absolutely no step-off) and imperfect in 1( 12 months), the average range of motion arc was 119°, four patients have flexion lag 10°–20°. The average SMFA dysfunction score was 15.8, and average HSS score was 98. All eight patients stated they were highly satisfied. Conclusions Direct posterolateral approach by dividing lateral border of soleus muscle, provides excellent fracture reduction under visualization and internal buttress plate fixation for posterior coronal fracture of the lateral tibial plateau. Good functional results and recovery can be expected.Keywords
This publication has 12 references indexed in Scilit:
- The posterolateral shearing tibial plateau fracture:: Treatment and results via a modified posterolateral approachThe Knee, 2008
- The Posterolateral Corner of the Knee –Anatomic Dissection and Surgical ApproachThe Journal of Knee Surgery, 2008
- Tibial Plateau FracturesClinical Orthopaedics and Related Research, 2000
- A comparison of short- and long-term intravenous antibiotic therapy in the postoperative management of adult osteomyelitisThe Journal of Bone and Joint Surgery. British volume, 1999
- Rank order analysis of tibial plafond fractures: does injury or reduction predict outcome?Foot & Ankle International, 1999
- Bicondylar Fracture of the Posterior Aspect of the Tibial Plateau. A Case Report and a Modified Operative Approach*The Journal of Bone & Joint Surgery, 1998
- Treatment of posterior tibial plateau fractures via posteromedial and posterolateral exposuresDer Unfallchirurg, 1997
- Fracture of the posterior aspect of the lateral tibial plateau: radiographic sign of anterior cruciate ligament tear.Radiology, 1993
- Fractures of the posterolateral tibial plateauThe American Journal of Sports Medicine, 1988
- Fracture-Dislocation of the KneeClinical Orthopaedics and Related Research, 1981