Abstract
PurposeAnatomic 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.MethodTen 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.ResultsAfter 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.ConclusionGood 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.
Highlights
Tibial plateau fractures are amongst the uncommon fracture types with a proportion of less than 1% of all bony injuries [1]
For further improvement of visualization, it is possible to dissect the lateral meniscus from the posterolateral capsule allowing for subluxation of the lateral meniscus into the intercondylar femoral notch [14]
In the present feasibility study, we aimed to describe the first clinical and radiological results of complex tibial plateau fractures
Summary
Tibial plateau fractures are amongst the uncommon fracture types with a proportion of less than 1% of all bony injuries [1]. Surgical therapy remains to be demanding as in most of the fractures with joint affection, the exact anatomic reduction is paramount [2]. A novel technique permitting improved visualization was introduced utilizing a lateral femoral epicondyle osteotomy [12, 13]. For further improvement of visualization, it is possible to dissect the lateral meniscus from the posterolateral capsule allowing for subluxation of the lateral meniscus into the intercondylar femoral notch [14]. Clinical follow-up data were missing to date. In the present feasibility study, we aimed to describe the first clinical and radiological results of complex tibial plateau fractures
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