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Feasibility of the modified inverted L-shaped approach for posterolateral tibial plateau fracture: A retrospective study

Approaches for treating posterolateral tibial plateau fractures vary among surgeons, and the inverted L-shaped approach is a known option. This article aims to introduce a new modified posterolateral inverted L-shaped approach for isolated posterolateral tibial plateau fractures and study its feasib...

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Autores principales: Yang, Xiaohai, Pan, Mingming, He, Hanliang, Jiang, Weimin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9542663/
https://www.ncbi.nlm.nih.gov/pubmed/36221430
http://dx.doi.org/10.1097/MD.0000000000031057
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author Yang, Xiaohai
Pan, Mingming
He, Hanliang
Jiang, Weimin
author_facet Yang, Xiaohai
Pan, Mingming
He, Hanliang
Jiang, Weimin
author_sort Yang, Xiaohai
collection PubMed
description Approaches for treating posterolateral tibial plateau fractures vary among surgeons, and the inverted L-shaped approach is a known option. This article aims to introduce a new modified posterolateral inverted L-shaped approach for isolated posterolateral tibial plateau fractures and study its feasibility. Medical records of patients with posterolateral tibial plateau fractures were reviewed. Plain radiographs were obtained during the follow-up period, and the hospital for special surgery (HSS) score was used to assess the function of the injured limb. Perioperative complications were recorded and followed-up. In total, 32 patients with posterolateral tibial plateau fractures were treated using a modified posterolateral approach. The mean age of the patients was 44 ± 11 years (28–64 years). All patients successfully underwent surgery and were followed-up for a mean duration of 13 ± 2 months (10–16 months). On plain radiographs, fracture lines were fuzzy 3 months after surgery and disappeared 12 months after surgery. No perioperative complications occurred during the follow-up period. The HSS score was evaluated 12 months after surgery, and the mean score was 91 ± 5 points (81–97 points), including 25 excellent cases and 7 good cases. The modified posterolateral inverted L-shaped approach has the advantages of small soft tissue dissection, fracture reduction under direct vision, easy internal fixation, and a lower risk of neurovascular injury. This approach is feasible for the treatment of isolated posterolateral tibial plateau fractures, and further high-quality randomized control trials are required to confirm its clinical efficacy.
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spelling pubmed-95426632022-10-11 Feasibility of the modified inverted L-shaped approach for posterolateral tibial plateau fracture: A retrospective study Yang, Xiaohai Pan, Mingming He, Hanliang Jiang, Weimin Medicine (Baltimore) 7100 Approaches for treating posterolateral tibial plateau fractures vary among surgeons, and the inverted L-shaped approach is a known option. This article aims to introduce a new modified posterolateral inverted L-shaped approach for isolated posterolateral tibial plateau fractures and study its feasibility. Medical records of patients with posterolateral tibial plateau fractures were reviewed. Plain radiographs were obtained during the follow-up period, and the hospital for special surgery (HSS) score was used to assess the function of the injured limb. Perioperative complications were recorded and followed-up. In total, 32 patients with posterolateral tibial plateau fractures were treated using a modified posterolateral approach. The mean age of the patients was 44 ± 11 years (28–64 years). All patients successfully underwent surgery and were followed-up for a mean duration of 13 ± 2 months (10–16 months). On plain radiographs, fracture lines were fuzzy 3 months after surgery and disappeared 12 months after surgery. No perioperative complications occurred during the follow-up period. The HSS score was evaluated 12 months after surgery, and the mean score was 91 ± 5 points (81–97 points), including 25 excellent cases and 7 good cases. The modified posterolateral inverted L-shaped approach has the advantages of small soft tissue dissection, fracture reduction under direct vision, easy internal fixation, and a lower risk of neurovascular injury. This approach is feasible for the treatment of isolated posterolateral tibial plateau fractures, and further high-quality randomized control trials are required to confirm its clinical efficacy. Lippincott Williams & Wilkins 2022-10-07 /pmc/articles/PMC9542663/ /pubmed/36221430 http://dx.doi.org/10.1097/MD.0000000000031057 Text en Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle 7100
Yang, Xiaohai
Pan, Mingming
He, Hanliang
Jiang, Weimin
Feasibility of the modified inverted L-shaped approach for posterolateral tibial plateau fracture: A retrospective study
title Feasibility of the modified inverted L-shaped approach for posterolateral tibial plateau fracture: A retrospective study
title_full Feasibility of the modified inverted L-shaped approach for posterolateral tibial plateau fracture: A retrospective study
title_fullStr Feasibility of the modified inverted L-shaped approach for posterolateral tibial plateau fracture: A retrospective study
title_full_unstemmed Feasibility of the modified inverted L-shaped approach for posterolateral tibial plateau fracture: A retrospective study
title_short Feasibility of the modified inverted L-shaped approach for posterolateral tibial plateau fracture: A retrospective study
title_sort feasibility of the modified inverted l-shaped approach for posterolateral tibial plateau fracture: a retrospective study
topic 7100
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9542663/
https://www.ncbi.nlm.nih.gov/pubmed/36221430
http://dx.doi.org/10.1097/MD.0000000000031057
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