The "FCR" Approach to the Knee for the Management of Posterior Tibial Plateau Fractures. Issue 6 (June 2020)

• Record Type: Journal Article
• Authors: Berwin, James T.; Donovan, Richard L.; Riddick, Andrew; Kelly, Michael B.
• Is Part Of: Journal of orthopaedic trauma. Volume 34:Issue 6(2020)
• Publication Date: 2020-06
• Subjects: fracture -- knee -- tibial plateau -- posterior column -- posterior approach; Orthopedics -- Periodicals; Wounds and injuries -- Periodicals; Orthopedics -- Periodicals; Wounds and Injuries -- therapy -- Periodicals; Periodicals; 617.47044
• DOI: 10.1097/BOT.0000000000001716
• Languages: English
• ISSNs: 0890-5339

Abstract

Abstract : Summary: Three-column fixation of tibial plateau fractures is now an established philosophy. A direct posterior approach with the patient prone affords enhanced exposure of the posterior column and ease of access for fixation using a buttress plate and posterior-to-anterior screws. A "direct posterior" approach through a reverse L-shaped incision to back of the knee is popular, yet complications associated with raising a fascial flap can occur. We present a simple method of conceptualizing a direct posterior approach through a single longitudinal incision, by likening it to a commonly performed orthopedic approach, the flexor carpi radialis approach to the wrist. Abstract : Supplemental Digital Content is Available in the Text.