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Type: Journal article
Title: Posterolateral transfibular approach to tibial plateau fractures: Technique, results, and rationale
Author: Solomon, L.
Stevenson, A.
Baird, R.
Pohl, A.
Citation: Journal of Orthopaedic Trauma, 2010; 24(8):505-514
Publisher: Lippincott Williams & Wilkins
Issue Date: 2010
ISSN: 0890-5339
Statement of
Solomon Lucian B., Stevenson Aaron W., Baird Robert P. and Pohl Anthony P.
Abstract: We 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.
Keywords: Fibula
Tibial Fractures
Fracture Fixation, Internal
Reconstructive Surgical Procedures
Rights: © 2010 Lippincott Williams & Wilkins, Inc.
DOI: 10.1097/BOT.0b013e3181ccba4b
Appears in Collections:Aurora harvest
Orthopaedics and Trauma publications

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