caa a22 4500 605457743 CHVBK 20210128100225.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s00167-014-3304-y doi (NATIONALLICENCE)springer-10.1007/s00167-014-3304-y An extended anterolateral approach for posterolateral tibial plateau fractures [Elektronische Daten] [Hong-Wei Chen, Sheng-Hu Zhou, Guo-dong Liu, Xiang Zhao, Jun Pan, Shan Ou, Jun Fei] 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. European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2014 Tibial plateau fracture nationallicence Approach nationallicence Tibial proximal locking plate nationallicence Internal fixation nationallicence Chen Hong-Wei Department of Orthopedic Surgery, Yiwu Central Hospital, Affiliated Hospital of Wenzhou Medical University, 322000, Yiwu, China aut Zhou Sheng-Hu Department of Orthopedics, General Hospital of Lanzhou Military Command, 730000, Lanzhou, China aut Liu Guo-dong 8th Department, Institute of Surgery Research, Daping Hospital, Third Military Medical University, 400042, Chongqing, China aut Zhao Xiang Department of Orthopedics, Second Hospital of Medical College of Zhejiang University, 310009, Hangzhou, China aut Pan Jun Department of Orthopedics, Second Hospital of Wenzhou Medical University, 325027, Wenzhou, China aut Ou Shan Department of Anesthesiology, General Hospital of Chengdu Military Command, 600041, Chengdu, China aut Fei Jun Traumatic Center, Institute of Surgery Research, Daping Hospital, Third Military Medical University, 400042, Chongqing, China aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/12(2015-12-01), 3750-3755 0942-2056 23:12<3750 2015 23 167 https://doi.org/10.1007/s00167-014-3304-y text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-014-3304-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Chen Hong-Wei Department of Orthopedic Surgery, Yiwu Central Hospital, Affiliated Hospital of Wenzhou Medical University, 322000, Yiwu, China aut NATIONALLICENCE 700 1- Zhou Sheng-Hu Department of Orthopedics, General Hospital of Lanzhou Military Command, 730000, Lanzhou, China aut NATIONALLICENCE 700 1- Liu Guo-dong 8th Department, Institute of Surgery Research, Daping Hospital, Third Military Medical University, 400042, Chongqing, China aut NATIONALLICENCE 700 1- Zhao Xiang Department of Orthopedics, Second Hospital of Medical College of Zhejiang University, 310009, Hangzhou, China aut NATIONALLICENCE 700 1- Pan Jun Department of Orthopedics, Second Hospital of Wenzhou Medical University, 325027, Wenzhou, China aut NATIONALLICENCE 700 1- Ou Shan Department of Anesthesiology, General Hospital of Chengdu Military Command, 600041, Chengdu, China aut NATIONALLICENCE 700 1- Fei Jun Traumatic Center, Institute of Surgery Research, Daping Hospital, Third Military Medical University, 400042, Chongqing, China aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/12(2015-12-01), 3750-3755 0942-2056 23:12<3750 2015 23 167