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European Journal of Trauma and Emergency Surgery

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Open Access 28-09-2022 | Pityriasis Lichenoides Chronica | Original Article

Anterolateral versus modified posterolateral approach for tibial plateau fractures with involvement of the posterior column: a cadaveric study

Authors: Peter Behrendt, Markus T. Berninger, Grégoire Thürig, Julius Dehoust, Jan H. Christensen, Karl-Heinz Frosch, Matthias Krause, Maximilian J. Hartel

Published in: European Journal of Trauma and Emergency Surgery | Issue 1/2023

Abstract

Introduction

The aim of this study was to compare the reduction quality of the anterolateral (AL) and modified posterolateral approach (PL) in lateral tibial plateau fractures involving the posterior column and central segments.

Methods

Matched pairs of pre-fractured cadaveric tibial plateau fractures were treated by either AL approach (supine position) or PL approach (prone position). Reduction was controlled by fluoroscopy and evaluated as satisfying or unacceptable. Afterwards, the reduction was examined by 3D scan.

Results

10 specimens (3 pairs 41B3.1, 2 pairs 41C3.3) were evaluated. PL approach achieved significantly (p 0.00472) better fracture reduction results (0.4 ± 0.7 mm) of the posterior column compared to the AL group (2.1 ± 1.4 mm). Fracture steps involving the central area of the lateral plateau were insufficiently reduced after fluoroscopy using both approaches.

Conclusion

Optimal reduction of displaced tibial plateau fractures involving the posterolateral column necessitates a posterior approach, which can be conducted in prone or lateral positioning. The anterolateral approach is indicated in fractures with minor displacement of the posterolateral rim but fracture extension in the latero-central segments. In these cases, an additional video-assisted reduction or extended approaches are helpful.

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Title: Anterolateral versus modified posterolateral approach for tibial plateau fractures with involvement of the posterior column: a cadaveric study
Authors: Peter Behrendt
Markus T. Berninger
Grégoire Thürig
Julius Dehoust
Jan H. Christensen
Karl-Heinz Frosch
Matthias Krause
Maximilian J. Hartel
Publication date: 28-09-2022
Publisher: Springer Berlin Heidelberg
Keywords: Pityriasis Lichenoides Chronica
Tibial Plateau Fracture
Published in: European Journal of Trauma and Emergency Surgery / Issue 1/2023
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-022-02113-8

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Anterolateral versus modified posterolateral approach for tibial plateau fractures with involvement of the posterior column: a cadaveric study

Abstract

Introduction

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusion

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