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Extended approach to the lateral tibial plateau with central meniscal subluxation in fracture repair: feasibility and first clinical and radiographic results.


ABSTRACT:

Purpose

Anatomic reduction in tibial plateau fractures remains to be demanding. For further visualisation of and approach to the joint surface an extended lateral approach using a lateral femoral epicondyle osteotomy and subluxation of the lateral meniscus was recently described. First clinical and radiographic mid-term results of this technique are presented in this feasibility study.

Method

Ten complex tibial plateau fractures treated with extended lateral approach and lateral meniscal subluxation were prospectively analysed. Clinical and radiographic results were objectified according to the Rasmussen scores.

Results

After a median follow-up of 8.6 (IQR 4.3) months good to excellent clinical and radiographic results were noted. The clinical Rasmussen Score showed a median of 25 (IQR 2.8) and radiographic a median of 17 (IQR 2.0) points.

Conclusion

Good to excellent clinical and radiological scores were obtained after using an extended lateral approach with lateral femoral epicondyle osteotomy and central meniscus subluxation. No approach specific complications could be observed.

SUBMITTER: Korthaus A 

PROVIDER: S-EPMC7691302 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature

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Publications

Extended approach to the lateral tibial plateau with central meniscal subluxation in fracture repair: feasibility and first clinical and radiographic results.

Korthaus Alexander A   Ballhause Tobias Malte TM   Kolb Jan-Philipp JP   Krause Matthias M   Frosch Karl-Heinz KH   Hartel Maximilian J MJ  

European journal of trauma and emergency surgery : official publication of the European Trauma Society 20200831 6


<h4>Purpose</h4>Anatomic reduction in tibial plateau fractures remains to be demanding. For further visualisation of and approach to the joint surface an extended lateral approach using a lateral femoral epicondyle osteotomy and subluxation of the lateral meniscus was recently described. First clinical and radiographic mid-term results of this technique are presented in this feasibility study.<h4>Method</h4>Ten complex tibial plateau fractures treated with extended lateral approach and lateral m  ...[more]

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