Approaches and fixation of the posterolateral fracture fragment in tibial plateau fractures: a review with an emphasis on rim plating via modified anterolateral approach
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...
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Veröffentlicht in: | International orthopaedics 2017-09, Vol.41 (9), p.1887-1897 |
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container_end_page | 1897 |
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container_issue | 9 |
container_start_page | 1887 |
container_title | International orthopaedics |
container_volume | 41 |
creator | Cho, Jae-Woo Kim, Jinil Cho, Won-Tae Kim, Jin-Kak Samal, Puspak Gujjar, Pranay H. Kent, William T. Oh, Jong-Keon |
description | 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. |
doi_str_mv | 10.1007/s00264-017-3563-6 |
format | Article |
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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.</description><identifier>ISSN: 0341-2695</identifier><identifier>EISSN: 1432-5195</identifier><identifier>DOI: 10.1007/s00264-017-3563-6</identifier><identifier>PMID: 28735430</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Algorithms ; Bone Plates - adverse effects ; Female ; Fracture Fixation, Internal - methods ; Humans ; Intra-Articular Fractures - surgery ; Knee Injuries - surgery ; Knee Joint - surgery ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Orthopedics ; Review Article ; Tibia - surgery ; Tibial Fractures - surgery</subject><ispartof>International orthopaedics, 2017-09, Vol.41 (9), p.1887-1897</ispartof><rights>SICOT aisbl 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c344t-1798ef80b37f860f1a973ad6ada6037963423e94d4e6af145a40ebe40d9588e13</citedby><cites>FETCH-LOGICAL-c344t-1798ef80b37f860f1a973ad6ada6037963423e94d4e6af145a40ebe40d9588e13</cites><orcidid>0000-0002-8934-0137</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00264-017-3563-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00264-017-3563-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28735430$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cho, Jae-Woo</creatorcontrib><creatorcontrib>Kim, Jinil</creatorcontrib><creatorcontrib>Cho, Won-Tae</creatorcontrib><creatorcontrib>Kim, Jin-Kak</creatorcontrib><creatorcontrib>Samal, Puspak</creatorcontrib><creatorcontrib>Gujjar, Pranay H.</creatorcontrib><creatorcontrib>Kent, William T.</creatorcontrib><creatorcontrib>Oh, Jong-Keon</creatorcontrib><title>Approaches and fixation of the posterolateral fracture fragment in tibial plateau fractures: a review with an emphasis on rim plating via modified anterolateral approach</title><title>International orthopaedics</title><addtitle>International Orthopaedics (SICOT)</addtitle><addtitle>Int Orthop</addtitle><description>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.</description><subject>Adult</subject><subject>Algorithms</subject><subject>Bone Plates - adverse effects</subject><subject>Female</subject><subject>Fracture Fixation, Internal - methods</subject><subject>Humans</subject><subject>Intra-Articular Fractures - surgery</subject><subject>Knee Injuries - surgery</subject><subject>Knee Joint - surgery</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Review Article</subject><subject>Tibia - surgery</subject><subject>Tibial Fractures - surgery</subject><issn>0341-2695</issn><issn>1432-5195</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1u2zAQhYkiReM4PUA3BZfZKCVFipKyM4z0BwiQTbImxtLQpiGJCknZyZFyy9K1a3TVDUlgvnlvho-QL5zdcsbKb4GxXMmM8TIThRKZ-kBmXIo8K3hdXJAZE5JnuaqLS3IVwpYlUFX8E7nMq1IUUrAZeV-Mo3fQbDBQGFpq7CtE6wbqDI0bpKMLEb3rIJ3QUeOhiZPHw2Pd4xCpHWi0K5tq4wGC6cyEOwrU487inu5t3CR9iv24gWADTQ7e9n967LCmOwu0d601FtvE_WsJpwGvyUcDXcDPp3tOnr_fPy1_Zg-PP34tFw9ZI6SMGS_rCk3FVqI0lWKGQ10KaBW0oJgoayVkLrCWrUQFhssCJMMVStbWRVUhF3Nyc9RNti8Thqh7GxrsOhjQTUHzOhecqUrlCeVHtPEuBI9Gj2kp8G-aM31ISB8T0unj9SEhrVLP15P8tOqxPXf8jSQB-REIqTSs0eutm_yQVv6P6m-lc5-D</recordid><startdate>20170901</startdate><enddate>20170901</enddate><creator>Cho, Jae-Woo</creator><creator>Kim, Jinil</creator><creator>Cho, Won-Tae</creator><creator>Kim, Jin-Kak</creator><creator>Samal, Puspak</creator><creator>Gujjar, Pranay H.</creator><creator>Kent, William T.</creator><creator>Oh, Jong-Keon</creator><general>Springer Berlin Heidelberg</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><orcidid>https://orcid.org/0000-0002-8934-0137</orcidid></search><sort><creationdate>20170901</creationdate><title>Approaches and fixation of the posterolateral fracture fragment in tibial plateau fractures: a review with an emphasis on rim plating via modified anterolateral approach</title><author>Cho, Jae-Woo ; Kim, Jinil ; Cho, Won-Tae ; Kim, Jin-Kak ; Samal, Puspak ; Gujjar, Pranay H. ; Kent, William T. ; Oh, Jong-Keon</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c344t-1798ef80b37f860f1a973ad6ada6037963423e94d4e6af145a40ebe40d9588e13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Algorithms</topic><topic>Bone Plates - adverse effects</topic><topic>Female</topic><topic>Fracture Fixation, Internal - methods</topic><topic>Humans</topic><topic>Intra-Articular Fractures - surgery</topic><topic>Knee Injuries - surgery</topic><topic>Knee Joint - surgery</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Review Article</topic><topic>Tibia - surgery</topic><topic>Tibial Fractures - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cho, Jae-Woo</creatorcontrib><creatorcontrib>Kim, Jinil</creatorcontrib><creatorcontrib>Cho, Won-Tae</creatorcontrib><creatorcontrib>Kim, Jin-Kak</creatorcontrib><creatorcontrib>Samal, Puspak</creatorcontrib><creatorcontrib>Gujjar, Pranay H.</creatorcontrib><creatorcontrib>Kent, William T.</creatorcontrib><creatorcontrib>Oh, Jong-Keon</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>International orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cho, Jae-Woo</au><au>Kim, Jinil</au><au>Cho, Won-Tae</au><au>Kim, Jin-Kak</au><au>Samal, Puspak</au><au>Gujjar, Pranay H.</au><au>Kent, William T.</au><au>Oh, Jong-Keon</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Approaches and fixation of the posterolateral fracture fragment in tibial plateau fractures: a review with an emphasis on rim plating via modified anterolateral approach</atitle><jtitle>International orthopaedics</jtitle><stitle>International Orthopaedics (SICOT)</stitle><addtitle>Int Orthop</addtitle><date>2017-09-01</date><risdate>2017</risdate><volume>41</volume><issue>9</issue><spage>1887</spage><epage>1897</epage><pages>1887-1897</pages><issn>0341-2695</issn><eissn>1432-5195</eissn><abstract>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.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>28735430</pmid><doi>10.1007/s00264-017-3563-6</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-8934-0137</orcidid></addata></record> |
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source | MEDLINE; SpringerLink Journals; EZB-FREE-00999 freely available EZB journals |
subjects | Adult Algorithms Bone Plates - adverse effects Female Fracture Fixation, Internal - methods Humans Intra-Articular Fractures - surgery Knee Injuries - surgery Knee Joint - surgery Male Medicine Medicine & Public Health Middle Aged Orthopedics Review Article Tibia - surgery Tibial Fractures - surgery |
title | Approaches and fixation of the posterolateral fracture fragment in tibial plateau fractures: a review with an emphasis on rim plating via modified anterolateral approach |
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