An extended anterolateral approach for posterolateral tibial plateau fractures

Verfasser / Beitragende:
[Hong-Wei Chen, Sheng-Hu Zhou, Guo-dong Liu, Xiang Zhao, Jun Pan, Shan Ou, Jun Fei]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/12(2015-12-01), 3750-3755
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00167-014-3304-y  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-3304-y 
245 0 3 |a An extended anterolateral approach for posterolateral tibial plateau fractures  |h [Elektronische Daten]  |c [Hong-Wei Chen, Sheng-Hu Zhou, Guo-dong Liu, Xiang Zhao, Jun Pan, Shan Ou, Jun Fei] 
520 3 |a Purpose: The best approach for treating posterolateral tibial plateau fractures remains controversial. The clinical results of an extended anterolateral approach on such fractures are discussed in this study. Methods: Between 2010 and 2011, ten patients with posterolateral tibial plateau fracture were treated using an extended anterolateral approach with a proximal tibial locking compression plate. The epidemiological data, operation details, and clinical outcomes over 26.4±2.3months (range 24-30months) of follow-up were prospectively collected and analyzed. Results: The average surgical duration was 91.5±18.7min (range 80-130min). An anatomic reduction rate of 90% (9/10) was observed although one patient with a lateral comminuted fracture and dislocation presented a 2-mm joint surface depression postoperatively. The average fracture healing time was 10.6±1.8weeks (range 8-14weeks), with an average hospital for special surgery knee score of 95.3±6.5 points (range 80-100 points), an average knee flexion of 119.8°±17.2° (range 95°-140°) and an average knee extension of 2.1°±2.1° (range 0°-6°). No complications were found. Conclusions: The extended anterolateral approach with a proximal tibial compression plate offers direct and complete surgical exposure and may provide an effective method for the surgical treatment of posterolateral tibial plateau fractures. Level of evidence: Therapeutic, Level IV. 
540 |a European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2014 
690 7 |a Tibial plateau fracture  |2 nationallicence 
690 7 |a Approach  |2 nationallicence 
690 7 |a Tibial proximal locking plate  |2 nationallicence 
690 7 |a Internal fixation  |2 nationallicence 
700 1 |a Chen  |D Hong-Wei  |u Department of Orthopedic Surgery, Yiwu Central Hospital, Affiliated Hospital of Wenzhou Medical University, 322000, Yiwu, China  |4 aut 
700 1 |a Zhou  |D Sheng-Hu  |u Department of Orthopedics, General Hospital of Lanzhou Military Command, 730000, Lanzhou, China  |4 aut 
700 1 |a Liu  |D Guo-dong  |u 8th Department, Institute of Surgery Research, Daping Hospital, Third Military Medical University, 400042, Chongqing, China  |4 aut 
700 1 |a Zhao  |D Xiang  |u Department of Orthopedics, Second Hospital of Medical College of Zhejiang University, 310009, Hangzhou, China  |4 aut 
700 1 |a Pan  |D Jun  |u Department of Orthopedics, Second Hospital of Wenzhou Medical University, 325027, Wenzhou, China  |4 aut 
700 1 |a Ou  |D Shan  |u Department of Anesthesiology, General Hospital of Chengdu Military Command, 600041, Chengdu, China  |4 aut 
700 1 |a Fei  |D Jun  |u Traumatic Center, Institute of Surgery Research, Daping Hospital, Third Military Medical University, 400042, Chongqing, China  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/12(2015-12-01), 3750-3755  |x 0942-2056  |q 23:12<3750  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-3304-y  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-014-3304-y  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Chen  |D Hong-Wei  |u Department of Orthopedic Surgery, Yiwu Central Hospital, Affiliated Hospital of Wenzhou Medical University, 322000, Yiwu, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Zhou  |D Sheng-Hu  |u Department of Orthopedics, General Hospital of Lanzhou Military Command, 730000, Lanzhou, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Liu  |D Guo-dong  |u 8th Department, Institute of Surgery Research, Daping Hospital, Third Military Medical University, 400042, Chongqing, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Zhao  |D Xiang  |u Department of Orthopedics, Second Hospital of Medical College of Zhejiang University, 310009, Hangzhou, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Pan  |D Jun  |u Department of Orthopedics, Second Hospital of Wenzhou Medical University, 325027, Wenzhou, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ou  |D Shan  |u Department of Anesthesiology, General Hospital of Chengdu Military Command, 600041, Chengdu, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Fei  |D Jun  |u Traumatic Center, Institute of Surgery Research, Daping Hospital, Third Military Medical University, 400042, Chongqing, China  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/12(2015-12-01), 3750-3755  |x 0942-2056  |q 23:12<3750  |1 2015  |2 23  |o 167