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Open Reduction and Internal Fixation of the Isolated Tibial Lateral Plateau Posterior Fracture Using Direct Posterior Split Gastrocnemius Approach.

Ozdemir G, Yilmaz B, Oztermeli A - Case Rep Surg (2015)

Bottom Line: Open reduction and internal fixation of the isolated tibial lateral plateau posterior fractures using direct posterior split gastrocnemius approach is a safe and effective method.

View Article: PubMed Central - PubMed

Affiliation: Fatih Sultan Mehmet Research and Training Hospital, Orthopaedics and Traumatology Clinic, E5 Karayolu Uzeri Icerenkoy, Atasehir, 34752 Istanbul, Turkey.

ABSTRACT
Open reduction and internal fixation of the isolated tibial lateral plateau posterior fractures using direct posterior split gastrocnemius approach is a safe and effective method.

No MeSH data available.


Related in: MedlinePlus

Perioperative photographies and C-arm views of Case II.
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Related In: Results  -  Collection


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fig3: Perioperative photographies and C-arm views of Case II.

Mentions: Following spinal anesthesia, prophylactic antibiotics were administered in both cases. Following the pneumatic tourniquet application, while in the prone position, an approximately 8 cm incision was applied lateral to the midline longitudinally. Lateral head of the gastrocnemius muscle was passed as a split with blunt dissection. Removing the popliteus muscle, posterior plateau was reached. Collapsed articular surface is removed with the help of the osteotome and step-off was corrected. Then, posterior cortex which was lifted like a cover was reduced and fixed with temporary K-wire. After scopy control, the 3.5 mm titanium locking the posteromedial plate (Truemed, Istanbul, Turkey) has been fixed to posterior (Figure 3). In the second case, additionally, the fracture in the sagittal plane was fixed with a screw from lateral to medial. Posterior capsule and lateral meniscus posterior were repaired. Layers were closed in anatomic plan by one hemovac drain.


Open Reduction and Internal Fixation of the Isolated Tibial Lateral Plateau Posterior Fracture Using Direct Posterior Split Gastrocnemius Approach.

Ozdemir G, Yilmaz B, Oztermeli A - Case Rep Surg (2015)

Perioperative photographies and C-arm views of Case II.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4660027&req=5

fig3: Perioperative photographies and C-arm views of Case II.
Mentions: Following spinal anesthesia, prophylactic antibiotics were administered in both cases. Following the pneumatic tourniquet application, while in the prone position, an approximately 8 cm incision was applied lateral to the midline longitudinally. Lateral head of the gastrocnemius muscle was passed as a split with blunt dissection. Removing the popliteus muscle, posterior plateau was reached. Collapsed articular surface is removed with the help of the osteotome and step-off was corrected. Then, posterior cortex which was lifted like a cover was reduced and fixed with temporary K-wire. After scopy control, the 3.5 mm titanium locking the posteromedial plate (Truemed, Istanbul, Turkey) has been fixed to posterior (Figure 3). In the second case, additionally, the fracture in the sagittal plane was fixed with a screw from lateral to medial. Posterior capsule and lateral meniscus posterior were repaired. Layers were closed in anatomic plan by one hemovac drain.

Bottom Line: Open reduction and internal fixation of the isolated tibial lateral plateau posterior fractures using direct posterior split gastrocnemius approach is a safe and effective method.

View Article: PubMed Central - PubMed

Affiliation: Fatih Sultan Mehmet Research and Training Hospital, Orthopaedics and Traumatology Clinic, E5 Karayolu Uzeri Icerenkoy, Atasehir, 34752 Istanbul, Turkey.

ABSTRACT
Open reduction and internal fixation of the isolated tibial lateral plateau posterior fractures using direct posterior split gastrocnemius approach is a safe and effective method.

No MeSH data available.


Related in: MedlinePlus