Open Reduction and Internal Fixation of the Posteromedial Tibial Plateau via the Lobenhoffer Approach

被引:13
|
作者
Hake, Mark E. [1 ]
Goulet, James A. [1 ]
机构
[1] Univ Michigan Hlth Syst, Dept Orthopaed Surg, Ann Arbor, MI 48109 USA
关键词
tibial plateau fracture; Lobenhoffer approach; posteromedial fragment; Moore type 1;
D O I
10.1097/BOT.0000000000000582
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Posteromedial fractures of the tibial plateau are often encountered after high-energy injuries. They can be seen in isolation or in combination with lateral column fractures. These fractures must be recognized and stabilized independently of any lateral sided fracture to ensure the stability of the final construct. First described in 1997, the Lobenhoffer approach provides access to the posteromedial and posterior aspects of the proximal tibia, allowing for reduction and stabilization of fractures in this location with a posteromedial plate. We present our technique for this approach for the treatment of an isolated posteromedial tibial plateau fracture. The procedure is performed in the prone position. An interval between the gastrocnemius and pes anserine is developed and the fracture apex visualized. The reduction maneuver involves extension and valgus of the knee along with direct manipulation of the fracture fragment. A small fragment antiglide plate is then placed to stabilize the fracture. This relatively straightforward approach is of great use when treating complex tibial plateau fractures involving the medial and posterior columns.
引用
收藏
页码:S35 / S36
页数:2
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