Anterior Approach for Posteromedial Tibial Plateau Fractures
Fractures of the posteromedial tibial plateau are rare and their treatment is not well established. Between January 2004 and December 2008, eight patients with fractures of the posteromedial tibia plateau were identified. All patients were treated with fracture reduction using an anterior approach....
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| Format: | Article |
| Language: | English |
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Wiley
2010-03-01
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| Series: | Kaohsiung Journal of Medical Sciences |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1607551X1070019X |
| _version_ | 1828873022618992640 |
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| author | Chih-Hsin Hsieh Hsuan-Ti Huang Ping-Cheng Liu Cheng-Chang Lu Jian-Chih Chen Gau-Tyan Lin |
| author_facet | Chih-Hsin Hsieh Hsuan-Ti Huang Ping-Cheng Liu Cheng-Chang Lu Jian-Chih Chen Gau-Tyan Lin |
| author_sort | Chih-Hsin Hsieh |
| collection | DOAJ |
| description | Fractures of the posteromedial tibial plateau are rare and their treatment is not well established. Between January 2004 and December 2008, eight patients with fractures of the posteromedial tibia plateau were identified. All patients were treated with fracture reduction using an anterior approach. After a mean follow-up of 21 months, the average range of knee motion was 0–123° of flexion. Seven patients had been injured in motor-scooter accidents, in which the protective front plate of the scooter had hit the knee while it was in the 90°-flexion position. At the final follow-up, 87.5% (7/8) patients had satisfactory reductions of the articular surface, and all patients had acceptable alignments. There were no neural or vascular injuries following surgery, and no superficial or deep infections. The average Hospital for Special Surgery Knee Score was 89. In conclusion, fracture reduction using the anterior approach is associated with fewer complications than the posterior approach, and good functional recovery can be expected. |
| first_indexed | 2024-12-13T07:06:37Z |
| format | Article |
| id | doaj.art-3a48469e57e24ab8b6f126f98a196348 |
| institution | Directory Open Access Journal |
| issn | 1607-551X |
| language | English |
| last_indexed | 2024-12-13T07:06:37Z |
| publishDate | 2010-03-01 |
| publisher | Wiley |
| record_format | Article |
| series | Kaohsiung Journal of Medical Sciences |
| spelling | doaj.art-3a48469e57e24ab8b6f126f98a1963482022-12-21T23:55:47ZengWileyKaohsiung Journal of Medical Sciences1607-551X2010-03-0126313013510.1016/S1607-551X(10)70019-XAnterior Approach for Posteromedial Tibial Plateau FracturesChih-Hsin Hsieh0Hsuan-Ti Huang1Ping-Cheng Liu2Cheng-Chang Lu3Jian-Chih Chen4Gau-Tyan Lin5Department of Orthopedics, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDepartment of Orthopedics, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDepartment of Orthopedics, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung, TaiwanDepartment of Orthopedics, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung, TaiwanDepartment of Orthopedics, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDepartment of Orthopedics, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanFractures of the posteromedial tibial plateau are rare and their treatment is not well established. Between January 2004 and December 2008, eight patients with fractures of the posteromedial tibia plateau were identified. All patients were treated with fracture reduction using an anterior approach. After a mean follow-up of 21 months, the average range of knee motion was 0–123° of flexion. Seven patients had been injured in motor-scooter accidents, in which the protective front plate of the scooter had hit the knee while it was in the 90°-flexion position. At the final follow-up, 87.5% (7/8) patients had satisfactory reductions of the articular surface, and all patients had acceptable alignments. There were no neural or vascular injuries following surgery, and no superficial or deep infections. The average Hospital for Special Surgery Knee Score was 89. In conclusion, fracture reduction using the anterior approach is associated with fewer complications than the posterior approach, and good functional recovery can be expected.http://www.sciencedirect.com/science/article/pii/S1607551X1070019Xanterior approachtibial plateau fracture |
| spellingShingle | Chih-Hsin Hsieh Hsuan-Ti Huang Ping-Cheng Liu Cheng-Chang Lu Jian-Chih Chen Gau-Tyan Lin Anterior Approach for Posteromedial Tibial Plateau Fractures Kaohsiung Journal of Medical Sciences anterior approach tibial plateau fracture |
| title | Anterior Approach for Posteromedial Tibial Plateau Fractures |
| title_full | Anterior Approach for Posteromedial Tibial Plateau Fractures |
| title_fullStr | Anterior Approach for Posteromedial Tibial Plateau Fractures |
| title_full_unstemmed | Anterior Approach for Posteromedial Tibial Plateau Fractures |
| title_short | Anterior Approach for Posteromedial Tibial Plateau Fractures |
| title_sort | anterior approach for posteromedial tibial plateau fractures |
| topic | anterior approach tibial plateau fracture |
| url | http://www.sciencedirect.com/science/article/pii/S1607551X1070019X |
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