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European Journal of Trauma and Emergency Surgery
Published in: European Journal of Trauma and Emergency Surgery 6/2020

Open Access 01-12-2020 | Pityriasis Lichenoides Chronica | Original Article

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

Authors: Alexander Korthaus, Tobias Malte Ballhause, Jan-Philipp Kolb, Matthias Krause, Karl-Heinz Frosch, Maximilian J. Hartel

Published in: European Journal of Trauma and Emergency Surgery | Issue 6/2020

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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.
Appendix
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Metadata
Title
Extended approach to the lateral tibial plateau with central meniscal subluxation in fracture repair: feasibility and first clinical and radiographic results
Authors
Alexander Korthaus
Tobias Malte Ballhause
Jan-Philipp Kolb
Matthias Krause
Karl-Heinz Frosch
Maximilian J. Hartel
Publication date
01-12-2020
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Trauma and Emergency Surgery / Issue 6/2020
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI
https://doi.org/10.1007/s00068-020-01467-1

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