Abstract:
RATIONALE:It is challenging to visualize and reduce a posterolateral tibial plateau fracture through an anterolateral approach as the tibial plateau fragments are often covered by the fibular head and ligamentous structures. PATIENT CONCERNS:In this case report, we describe a patient with a depression fracture of the posterolateral quadrant combined with a split fracture of the posteromedial quadrant and an avulsion fracture of the tibial intercondylar eminence. DIAGNOSES:Tibial plateau fracture(AO type 41-B3). INTERVENTIONS:A posteromedial approach combined with an anterolateral approach and an osteotomy involving the proximal tibiofibular joint of the tibial plateau was used to expose, reduce, and fix the fracture. OUTCOMES:There was no risk of injury to the common peroneal nerve or ligaments. The patient is recovering well and is satisfied with the function of the injured knee. LESSONS:We recommend anterolateral tibial plateau osteotomy for the treatment of posterolateral tibial plateau fractures in clinical practice.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Sun DH,Zhao Y,Zhang JT,Zhu D,Qi BCdoi
10.1097/MD.0000000000009669subject
Has Abstractpub_date
2018-01-01 00:00:00pages
e9669issue
3eissn
0025-7974issn
1536-5964pii
00005792-201801190-00044journal_volume
97pub_type
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