TY - JOUR
T1 - Approaches and fixation of the posterolateral fracture fragment in tibial plateau fractures
T2 - a review with an emphasis on rim plating via modified anterolateral approach
AU - Cho, Jae Woo
AU - Kim, Jinil
AU - Cho, Won Tae
AU - Kim, Jin Kak
AU - Samal, Puspak
AU - Gujjar, Pranay H.
AU - Kent, William T.
AU - Oh, Jong-Keon
PY - 2017/9/1
Y1 - 2017/9/1
N2 - 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.
AB - 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.
KW - Approach
KW - Modified anterolateral approach
KW - Plateau fracture
KW - Posterolateral fracture fragment
KW - Rim plating
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U2 - 10.1007/s00264-017-3563-6
DO - 10.1007/s00264-017-3563-6
M3 - Review article
C2 - 28735430
AN - SCOPUS:85025428454
SN - 0341-2695
VL - 41
SP - 1887
EP - 1897
JO - International Orthopaedics
JF - International Orthopaedics
IS - 9
ER -