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...

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Main Authors: Nicolás Franulic, Tomás Pineda, José Laso, Diego Valiente, Nicolás Gaggero
Format: Article
Language:English
Published: Hindawi Limited 2023-01-01
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.
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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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