The prone posteromedial approach to the knee revisited: a safe and effective strategy for posterior tibial plateau fractures

Schwartz, Luke; Ganta, Abhishek; Konda, Sanjit; Rivero, Steven; Egol, Kenneth

doi:10.1007/s00590-023-03755-z

Eur J Orthop Surg Traumatol

2023

DOI: 10.1007/s00590-023-03755-z

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The prone posteromedial approach to the knee revisited: a safe and effective strategy for posterior tibial plateau fractures

Luke Schwartz,

Abhishek Ganta,

Sanjit Konda

et al.

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2024

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Evaluation and Management of Posterior Tibial Plateau Fractures

O’Neill,

Thorne,

Scolaro

et al. 2024

J Am Acad Orthop Surg

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Tibial plateau fractures are caused by high-energy or low-energy trauma and result in complex injuries that require careful management of both osseous injuries and associated soft tissues. The posterior aspect of the tibial plateau can be involved in a variety of fracture patterns, requiring systematic evaluation, imaging, and advanced surgical planning to address these complex injuries. Early classification systems failed to classify posterior plateau fractures; however, three-dimensional imaging and newer classification schemes, including the Quadrant System and 3D systems, have incorporated posterior column lesions. There has been a growing body of literature focused on fixation principles and plating options for posterior column fractures. Furthermore, there are multiple approaches for surgeons to choose between, including a direct posterior, posteromedial, posterolateral (including Lobenhoffer and lateral condyle osteotomy), and combined posterior approach. This article presents a guide for managing posterior tibial plateau fractures, including the initial evaluation and management, descriptions of the surgical approaches, principles of fixation, and the associated outcomes and complications.

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Evaluation and Management of Posterior Tibial Plateau Fractures

O’Neill,

Thorne,

Scolaro

et al. 2024

J Am Acad Orthop Surg

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The prone posteromedial approach to the knee revisited: a safe and effective strategy for posterior tibial plateau fractures

Cited by 1 publication

References 20 publications

Evaluation and Management of Posterior Tibial Plateau Fractures

Evaluation and Management of Posterior Tibial Plateau Fractures

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