Bicondylar tibial plateau fracture dislocations with an intact anterolateral cortical rim: A surgical technique. Issue 3 (March 2023)

• Record Type: Journal Article
• Authors: Crabtree, Reaves M.; Bergin, Patrick F.; Graves, Matthew L.; Yener, Ugur; Bhanat, Eldrin; Day, William A.; Spitler, Clay A.
• Is Part Of: Injury. Volume 54:Issue 3(2023)
• Page Start: 1004
• Page End: 1010
• Publication Date: 2023-03
• Subjects: Tibial plateau fracture -- Surgical technique -- Radiographic outcome -- Functional outcome; Wounds and injuries -- Surgery -- Periodicals; Accidents -- Periodicals; Wounds and Injuries -- surgery -- Periodicals; Lésions et blessures -- Chirurgie -- Périodiques; Electronic journals; Electronic journals; 617.1
• DOI: 10.1016/j.injury.2022.12.020
• Languages: English
• ISSNs: 0020-1383

Abstract

Abstract: A displaced medial tibial plateau fracture with central and lateral impaction, but an intact anterolateral cortical rim, is an uncommon variant of bicondylar tibial plateau fracture that presents a number of challenges. Without a lateral metaphyseal fracture line to work through, it is challenging to address central and lateral impaction. Previously published techniques for addressing this fracture pattern describe an intra-articular osteotomy of the lateral plateau to aid visualization and reduction, or use a posterolateral approach to the proximal tibia with or without an osteotomy of the proximal fibula. This study presents a technique which utilizes standard dual incision approaches and does not involve an intra-articular osteotomy of the lateral tibial plateau or a posterolateral approach. A case series was conducted evaluating radiographic and functional outcomes of 8 patients.