Approaches and fixation of the posterolateral fracture fragment in tibial plateau fractures: a review with an emphasis on rim plating via modified anterolateral approach.

Abstract:

PURPOSE:To review available approaches and fixation methods for posterolateral fracture fragment (PLF) in tibial plateau fracture, and to propose an algorithm to treat various types of plateau fractures which all involve the PLF. METHODS:This article reviews multiple surgical approaches for PLF and suggests an algorithm for suitable approach and fixation method according to PLF with combined plateau fracture. RESULTS:The modified anterolateral approach is a suitable single approach for fractures with a PLF combined with an anterolateral plateau fracture and for isolated posterolateral fracture fragments. For a multicolumn tibia plateau fracture involving the lateral, medial and posterior columns, dual approaches (modified anterolateral and posteromedial approach) can be used to access the entire plateau area. CONCLUSIONS:When considering approaches of this complex fracture pattern, one must consider local soft tissue condition, plateau fracture morphology, associated injuries, and fixation options. After review of multiple approaches described in the literature for PLF fixation, we can suggest an algorithm for the approach and fixation to treat tibial plateau fractures with posterolateral fracture fragments.

journal_name

Int Orthop

authors

Cho JW,Kim J,Cho WT,Kim JK,Samal P,Gujjar PH,Kent WT,Oh JK

doi

10.1007/s00264-017-3563-6

subject

Has Abstract

pub_date

2017-09-01 00:00:00

pages

1887-1897

issue

9

eissn

0341-2695

issn

1432-5195

pii

10.1007/s00264-017-3563-6

journal_volume

41

pub_type

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