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
Hauptverfasser: Cho, Jae-Woo, Kim, Jinil, Cho, Won-Tae, Kim, Jin-Kak, Samal, Puspak, Gujjar, Pranay H., Kent, William T., Oh, Jong-Keon
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container_end_page 1897
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
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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 &amp; 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. 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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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