Posterolateral transfibular approach to tibial plateau fractures: Technique, results, and rationale

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dc.contributor.authorSolomon, L.
dc.contributor.authorStevenson, A.
dc.contributor.authorBaird, R.
dc.contributor.authorPohl, A.
dc.date.issued2010
dc.description.abstractWe describe a posterolateral transfibular neck approach to the proximal tibia. This approach was developed as an alternative to the anterolateral approach to the tibial plateau for the treatment of two fracture subtypes: depressed and split depressed fractures in which the comminution and depression are located in the posterior half of the lateral tibial condyle. These fractures have proved particularly difficult to reduce and adequately internally fix through an anterior or anterolateral approach. The approach described in this article exposes the posterolateral aspect of the tibial plateau between the posterior margin of the iliotibial band and the posterior cruciate ligament. The approach allows lateral buttressing of the lateral tibial plateau and may be combined with a simultaneous posteromedial and/or anteromedial approach to the tibial plateau. Critically, the proximal tibial soft tissue envelope and its blood supply are preserved. To date, we have used this approach either alone or in combination with a posteromedial approach for the successful reduction of tibial plateau fractures in eight patients. No complications related to this approach were documented, including no symptoms related to the common peroneal nerve, and all fractures and fibular neck osteotomies healed uneventfully.
dc.description.statementofresponsibilitySolomon Lucian B., Stevenson Aaron W., Baird Robert P. and Pohl Anthony P.
dc.identifier.citationJournal of Orthopaedic Trauma, 2010; 24(8):505-514
dc.identifier.doi10.1097/BOT.0b013e3181ccba4b
dc.identifier.issn0890-5339
dc.identifier.issn1531-2291
dc.identifier.orcidSolomon, L. [0000-0001-6254-2372]
dc.identifier.urihttp://hdl.handle.net/2440/60628
dc.language.isoen
dc.publisherLippincott Williams & Wilkins
dc.rights© 2010 Lippincott Williams & Wilkins, Inc.
dc.source.urihttps://doi.org/10.1097/bot.0b013e3181ccba4b
dc.subjectFibula
dc.subjectHumans
dc.subjectTibial Fractures
dc.subjectFracture Fixation, Internal
dc.subjectPlastic Surgery Procedures
dc.titlePosterolateral transfibular approach to tibial plateau fractures: Technique, results, and rationale
dc.typeJournal article
pubs.publication-statusPublished

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