A combined posterior reversed L-shaped and anterolateral approach for two column tibial plateau fractures in Caucasians: A technical note
Abstract Objective Open reduction and internal fixation of two column posterior and lateral tibial plateau fractures through a combined posterior reversed L-shaped and anterolateral approach in floating position in Caucasians. Indications Two column posterior and lateral tibial plateau fractures. Co...
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| Veröffentlicht in: | Injury 2015-12, Vol.46 (12), p.2516-2519 |
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| creator | Hoekstra, H Rosseels, W Luo, C.-F Nijs, S |
| description | Abstract Objective Open reduction and internal fixation of two column posterior and lateral tibial plateau fractures through a combined posterior reversed L-shaped and anterolateral approach in floating position in Caucasians. Indications Two column posterior and lateral tibial plateau fractures. Contraindications Tibial plateau fractures that do not involve the posterior and lateral column. Surgical technique The patient is positioned in floating position, a reversed L-shaped skin incision is made, the posterior column after lateral retraction of the medial head of the gastrocnemius muscle is exposed, and the posterior fragments are reduced and fixed. Subsequently, flexion and varus stress on the knee is applied, an anterolateral skin incision is made, the lateral column is exposed, and the lateral fragments are reduced and fixed. Conclusion Despite a different physique as Asians, a combined posterior reversed L-shaped and anterolateral approach in a floating position for the surgical treatment of two column posterior and lateral tibial plateau fractures is technically possible in Caucasians. In our experience, this combined approach is an excellent strategy in most patients for surgical treatment of two column posterior and lateral column fractures. |
| doi_str_mv | 10.1016/j.injury.2015.10.014 |
| format | Article |
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Indications Two column posterior and lateral tibial plateau fractures. Contraindications Tibial plateau fractures that do not involve the posterior and lateral column. Surgical technique The patient is positioned in floating position, a reversed L-shaped skin incision is made, the posterior column after lateral retraction of the medial head of the gastrocnemius muscle is exposed, and the posterior fragments are reduced and fixed. Subsequently, flexion and varus stress on the knee is applied, an anterolateral skin incision is made, the lateral column is exposed, and the lateral fragments are reduced and fixed. Conclusion Despite a different physique as Asians, a combined posterior reversed L-shaped and anterolateral approach in a floating position for the surgical treatment of two column posterior and lateral tibial plateau fractures is technically possible in Caucasians. In our experience, this combined approach is an excellent strategy in most patients for surgical treatment of two column posterior and lateral column fractures.</description><identifier>ISSN: 0020-1383</identifier><identifier>EISSN: 1879-0267</identifier><identifier>DOI: 10.1016/j.injury.2015.10.014</identifier><identifier>PMID: 26520364</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Anterolateral approach ; Fracture ; Fracture Fixation, Internal - methods ; Fracture Healing ; Humans ; Knee ; Knee Joint - physiopathology ; Knee Joint - surgery ; Orthopedics ; Patient Positioning - methods ; Practice Guidelines as Topic ; Range of Motion, Articular ; Recovery of Function ; Reversed L-shaped approach ; Tibial Fractures - physiopathology ; Tibial Fractures - surgery ; Tibial plateau ; Treatment Outcome</subject><ispartof>Injury, 2015-12, Vol.46 (12), p.2516-2519</ispartof><rights>Elsevier Ltd</rights><rights>2015 Elsevier Ltd</rights><rights>Copyright © 2015 Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c463t-bca66d3d1c2bc8e9ec923373eb630f0e4e23228bd4cc3715aaee87e1e6b48b4a3</citedby><cites>FETCH-LOGICAL-c463t-bca66d3d1c2bc8e9ec923373eb630f0e4e23228bd4cc3715aaee87e1e6b48b4a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.injury.2015.10.014$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26520364$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hoekstra, H</creatorcontrib><creatorcontrib>Rosseels, W</creatorcontrib><creatorcontrib>Luo, C.-F</creatorcontrib><creatorcontrib>Nijs, S</creatorcontrib><title>A combined posterior reversed L-shaped and anterolateral approach for two column tibial plateau fractures in Caucasians: A technical note</title><title>Injury</title><addtitle>Injury</addtitle><description>Abstract Objective Open reduction and internal fixation of two column posterior and lateral tibial plateau fractures through a combined posterior reversed L-shaped and anterolateral approach in floating position in Caucasians. Indications Two column posterior and lateral tibial plateau fractures. Contraindications Tibial plateau fractures that do not involve the posterior and lateral column. Surgical technique The patient is positioned in floating position, a reversed L-shaped skin incision is made, the posterior column after lateral retraction of the medial head of the gastrocnemius muscle is exposed, and the posterior fragments are reduced and fixed. Subsequently, flexion and varus stress on the knee is applied, an anterolateral skin incision is made, the lateral column is exposed, and the lateral fragments are reduced and fixed. Conclusion Despite a different physique as Asians, a combined posterior reversed L-shaped and anterolateral approach in a floating position for the surgical treatment of two column posterior and lateral tibial plateau fractures is technically possible in Caucasians. In our experience, this combined approach is an excellent strategy in most patients for surgical treatment of two column posterior and lateral column fractures.</description><subject>Anterolateral approach</subject><subject>Fracture</subject><subject>Fracture Fixation, Internal - methods</subject><subject>Fracture Healing</subject><subject>Humans</subject><subject>Knee</subject><subject>Knee Joint - physiopathology</subject><subject>Knee Joint - surgery</subject><subject>Orthopedics</subject><subject>Patient Positioning - methods</subject><subject>Practice Guidelines as Topic</subject><subject>Range of Motion, Articular</subject><subject>Recovery of Function</subject><subject>Reversed L-shaped approach</subject><subject>Tibial Fractures - physiopathology</subject><subject>Tibial Fractures - surgery</subject><subject>Tibial plateau</subject><subject>Treatment Outcome</subject><issn>0020-1383</issn><issn>1879-0267</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUsuu0zAQtRCIWy78AUJesknxI3VSFkhVxUuqxAJYW_ZkojokdrDji_oJ_DUOvbBgw8L2aOacGc-cIeQ5Z1vOuHo1bJ0fcrxsBeO74toyXj8gG942-4oJ1TwkG8YEq7hs5Q15ktLAGG-YlI_JjVA7waSqN-TngUKYrPPY0TmkBaMLkUa8w5iK61Sls5mLYfx6SjiMptxmpGaeYzBwpn0hLD9CyTPmydPFWVfC84ozmfbRwJIjJuo8PZoMJjnj02t6oAvC2TsoYB8WfEoe9WZM-Oz-vSVf3739cvxQnT69_3g8nCqolVwqC0apTnYchIUW9wh7IWUj0SrJeoY1CilEa7saQDZ8Zwxi2yBHZevW1kbekpfXvOX73zOmRU8uAY6j8Rhy0ryp94or3ogCra9QiCGliL2eo5tMvGjO9CqCHvRVBL2KsHqLCIX24r5CthN2f0l_pl4Ab64ALH3eOYw6gUMP2LmIsOguuP9V-DcBjO73KL_hBdMQcvRlhprrJDTTn9dFWPeA7xgrvSn5C3_zsiY</recordid><startdate>20151201</startdate><enddate>20151201</enddate><creator>Hoekstra, H</creator><creator>Rosseels, W</creator><creator>Luo, C.-F</creator><creator>Nijs, S</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20151201</creationdate><title>A combined posterior reversed L-shaped and anterolateral approach for two column tibial plateau fractures in Caucasians: A technical note</title><author>Hoekstra, H ; Rosseels, W ; Luo, C.-F ; Nijs, S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c463t-bca66d3d1c2bc8e9ec923373eb630f0e4e23228bd4cc3715aaee87e1e6b48b4a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Anterolateral approach</topic><topic>Fracture</topic><topic>Fracture Fixation, Internal - methods</topic><topic>Fracture Healing</topic><topic>Humans</topic><topic>Knee</topic><topic>Knee Joint - physiopathology</topic><topic>Knee Joint - surgery</topic><topic>Orthopedics</topic><topic>Patient Positioning - methods</topic><topic>Practice Guidelines as Topic</topic><topic>Range of Motion, Articular</topic><topic>Recovery of Function</topic><topic>Reversed L-shaped approach</topic><topic>Tibial Fractures - physiopathology</topic><topic>Tibial Fractures - surgery</topic><topic>Tibial plateau</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hoekstra, H</creatorcontrib><creatorcontrib>Rosseels, W</creatorcontrib><creatorcontrib>Luo, C.-F</creatorcontrib><creatorcontrib>Nijs, S</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Injury</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hoekstra, H</au><au>Rosseels, W</au><au>Luo, C.-F</au><au>Nijs, S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A combined posterior reversed L-shaped and anterolateral approach for two column tibial plateau fractures in Caucasians: A technical note</atitle><jtitle>Injury</jtitle><addtitle>Injury</addtitle><date>2015-12-01</date><risdate>2015</risdate><volume>46</volume><issue>12</issue><spage>2516</spage><epage>2519</epage><pages>2516-2519</pages><issn>0020-1383</issn><eissn>1879-0267</eissn><abstract>Abstract Objective Open reduction and internal fixation of two column posterior and lateral tibial plateau fractures through a combined posterior reversed L-shaped and anterolateral approach in floating position in Caucasians. Indications Two column posterior and lateral tibial plateau fractures. Contraindications Tibial plateau fractures that do not involve the posterior and lateral column. Surgical technique The patient is positioned in floating position, a reversed L-shaped skin incision is made, the posterior column after lateral retraction of the medial head of the gastrocnemius muscle is exposed, and the posterior fragments are reduced and fixed. Subsequently, flexion and varus stress on the knee is applied, an anterolateral skin incision is made, the lateral column is exposed, and the lateral fragments are reduced and fixed. Conclusion Despite a different physique as Asians, a combined posterior reversed L-shaped and anterolateral approach in a floating position for the surgical treatment of two column posterior and lateral tibial plateau fractures is technically possible in Caucasians. In our experience, this combined approach is an excellent strategy in most patients for surgical treatment of two column posterior and lateral column fractures.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>26520364</pmid><doi>10.1016/j.injury.2015.10.014</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Anterolateral approach Fracture Fracture Fixation, Internal - methods Fracture Healing Humans Knee Knee Joint - physiopathology Knee Joint - surgery Orthopedics Patient Positioning - methods Practice Guidelines as Topic Range of Motion, Articular Recovery of Function Reversed L-shaped approach Tibial Fractures - physiopathology Tibial Fractures - surgery Tibial plateau Treatment Outcome |
| title | A combined posterior reversed L-shaped and anterolateral approach for two column tibial plateau fractures in Caucasians: A technical note |
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