Posteromedial Submeniscal Arthrotomy and Fixation with a Posteromedial Rim Plate in a Comminuted Medial Tibial Plateau Fracture

Medial tibial plateau fractures generally present as simple metaphyseal fractures; however, certain cases may present as comminuted articular fractures. Medial and posteromedial anatomical plates have traditionally been used for their management; nevertheless, not all cases can be successfully manag...

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Published inCase reports in orthopedics Vol. 2023; pp. 3635067 - 6
Main Authors Franulic, Nicolás, Pineda, Tomás, Laso, José, Valiente, Diego, Gaggero, Nicolás
Format Journal Article
LanguageEnglish
Published United States Hindawi 18.05.2023
Hindawi Limited
Subjects
Biomechanics
Case Report
Fractures
Knee
Medical prognosis
Orthopedics
Range of motion
Surgery
Surgical techniques
Trauma
Visualization
X-rays
Samal
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Summary:Medial tibial plateau fractures generally present as simple metaphyseal fractures; however, certain cases may present as comminuted articular fractures. Medial and posteromedial anatomical plates have traditionally been used for their management; nevertheless, not all cases can be successfully managed using these implants. We present a comminuted posteromedial Schatzker type VI tibial plateau fracture case. Direct visualization and subsequent fixation using a posteromedial rim plate were achieved through a posteromedial approach and submeniscal arthrotomy. The adequate joint reduction and the obtained stability allowed satisfactory clinical and radiological outcomes. This variation of the classic posteromedial approach and the use of a posteromedial rim plate provide an alternative when facing comminuted medial tibial plateau fractures.
Bibliography:Academic Editor: Hiroshi Takahashi
ISSN:2090-6749
2090-6757
DOI:10.1155/2023/3635067