Posteromedial Submeniscal Arthrotomy and Fixation with a Posteromedial Rim Plate in a Comminuted Medial Tibial Plateau Fracture
Medial tibial plateau fractures generally present as simple metaphyseal fractures; however, certain cases may present as comminuted articular fractures. Medial and posteromedial anatomical plates have traditionally been used for their management; nevertheless, not all cases can be successfully manag...
Main Authors: | , , , , |
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Format: | Article |
Language: | English |
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Hindawi Limited
2023-01-01
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Series: | Case Reports in Orthopedics |
Online Access: | http://dx.doi.org/10.1155/2023/3635067 |
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author | Nicolás Franulic Tomás Pineda José Laso Diego Valiente Nicolás Gaggero |
author_facet | Nicolás Franulic Tomás Pineda José Laso Diego Valiente Nicolás Gaggero |
author_sort | Nicolás Franulic |
collection | DOAJ |
description | Medial tibial plateau fractures generally present as simple metaphyseal fractures; however, certain cases may present as comminuted articular fractures. Medial and posteromedial anatomical plates have traditionally been used for their management; nevertheless, not all cases can be successfully managed using these implants. We present a comminuted posteromedial Schatzker type VI tibial plateau fracture case. Direct visualization and subsequent fixation using a posteromedial rim plate were achieved through a posteromedial approach and submeniscal arthrotomy. The adequate joint reduction and the obtained stability allowed satisfactory clinical and radiological outcomes. This variation of the classic posteromedial approach and the use of a posteromedial rim plate provide an alternative when facing comminuted medial tibial plateau fractures. |
first_indexed | 2024-03-13T09:31:06Z |
format | Article |
id | doaj.art-1b787779baf941b8a7151e6d86171d5d |
institution | Directory Open Access Journal |
issn | 2090-6757 |
language | English |
last_indexed | 2024-03-13T09:31:06Z |
publishDate | 2023-01-01 |
publisher | Hindawi Limited |
record_format | Article |
series | Case Reports in Orthopedics |
spelling | doaj.art-1b787779baf941b8a7151e6d86171d5d2023-05-26T00:00:03ZengHindawi LimitedCase Reports in Orthopedics2090-67572023-01-01202310.1155/2023/3635067Posteromedial Submeniscal Arthrotomy and Fixation with a Posteromedial Rim Plate in a Comminuted Medial Tibial Plateau FractureNicolás Franulic0Tomás Pineda1José Laso2Diego Valiente3Nicolás Gaggero4Hospital del Trabajador ACHSHospital El CarmenHospital del Trabajador ACHSHospital del Trabajador ACHSHospital del Trabajador ACHSMedial tibial plateau fractures generally present as simple metaphyseal fractures; however, certain cases may present as comminuted articular fractures. Medial and posteromedial anatomical plates have traditionally been used for their management; nevertheless, not all cases can be successfully managed using these implants. We present a comminuted posteromedial Schatzker type VI tibial plateau fracture case. Direct visualization and subsequent fixation using a posteromedial rim plate were achieved through a posteromedial approach and submeniscal arthrotomy. The adequate joint reduction and the obtained stability allowed satisfactory clinical and radiological outcomes. This variation of the classic posteromedial approach and the use of a posteromedial rim plate provide an alternative when facing comminuted medial tibial plateau fractures.http://dx.doi.org/10.1155/2023/3635067 |
spellingShingle | Nicolás Franulic Tomás Pineda José Laso Diego Valiente Nicolás Gaggero Posteromedial Submeniscal Arthrotomy and Fixation with a Posteromedial Rim Plate in a Comminuted Medial Tibial Plateau Fracture Case Reports in Orthopedics |
title | Posteromedial Submeniscal Arthrotomy and Fixation with a Posteromedial Rim Plate in a Comminuted Medial Tibial Plateau Fracture |
title_full | Posteromedial Submeniscal Arthrotomy and Fixation with a Posteromedial Rim Plate in a Comminuted Medial Tibial Plateau Fracture |
title_fullStr | Posteromedial Submeniscal Arthrotomy and Fixation with a Posteromedial Rim Plate in a Comminuted Medial Tibial Plateau Fracture |
title_full_unstemmed | Posteromedial Submeniscal Arthrotomy and Fixation with a Posteromedial Rim Plate in a Comminuted Medial Tibial Plateau Fracture |
title_short | Posteromedial Submeniscal Arthrotomy and Fixation with a Posteromedial Rim Plate in a Comminuted Medial Tibial Plateau Fracture |
title_sort | posteromedial submeniscal arthrotomy and fixation with a posteromedial rim plate in a comminuted medial tibial plateau fracture |
url | http://dx.doi.org/10.1155/2023/3635067 |
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