Surgical approach for high-energy posterior tibial plateau fractures
2011

Surgical Approach for High-Energy Posterior Tibial Plateau Fractures

Sample size: 10 publication Evidence: low

Author Information

Author(s): Wang Shu-Qing, Gao You-Shui, Wang Jia-Qi, Zhang Chang-Qing, Mei Jiong, Rao Zhi-Tao

Primary Institution: Tongji Hospital, Tongji University, Shanghai, China

Hypothesis

The surgical technique is beneficial for the union of fractures and prevention of postoperative complications in posterior fractures of the tibial plateau.

Conclusion

High-energy fractures of the posterior tibial plateau could be well treated based on posterior approaches combined with necessary anterior approach if required.

Supporting Evidence

  • The average time to union of all 10 fractures was 3.7 months.
  • Nine patients had satisfactory articular reduction.
  • The average postoperative HSS score at the final follow-up was 92.70.

Takeaway

Doctors can fix serious knee fractures by using special surgical techniques that help the bones heal better and prevent problems later.

Methodology

Ten cases of posterior tibial plateau fractures were retrospectively reviewed and followed up for a mean of 26.5 months, using a posterolateral/posteromedial approach primarily.

Limitations

The sample size is quite small.

Participant Demographics

Seven men and three women, with injuries primarily from falls and motor vehicle accidents.

Digital Object Identifier (DOI)

10.4103/0019-5413.77131

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