International Orthopaedics (SICOT) (2017) 41:1887–1897 DOI 10.1007/s00264-017-3563-6 REVIEW ARTICLE Approaches and fixation of the posterolateral fracture fragment in tibial plateau fractures: a review with an emphasis on rim plating via modified anterolateral approach 1 1 1 1 1 Jae-Woo Cho & Jinil Kim & Won-Tae Cho & Jin-Kak Kim & Puspak Samal & 1 1 1 Pranay H. Gujjar & William T. Kent & Jong-Keon Oh Received: 5 February 2017 /Accepted: 26 June 2017 /Published online: 22 July 2017 SICOT aisbl 2017 Abstract Introduction Purpose To review available approaches and fixation methods for posterolateral fracture fragment (PLF) in tibial A posterolateral fracture fragment (PLF) in tibial plateau frac- plateau fracture, and to propose an algorithm to treat various tures is defined as any separate posterolateral quadrant-based types of plateau fractures which all involve the PLF. articular fracture fragment, with extension of the fracture line Methods This article reviews multiple surgical approaches for to the posterolateral cortex . Posterolateral corner shearing PLF and suggests an algorithm for suitable approach and fix- tibial plateau fractures are less commonly seen, with incidence ation method according to PLF with combined plateau from 7 to 15%. A recent study has demonstrated a 44% inci-
International Orthopaedics – Springer Journals
Published: Jul 22, 2017
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