ReviewEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2020
The concept of direct approach to lateral tibial plateau fractures and stepwise extension as needed.
Review in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed.
- [Treatment of tibial plateau fractures between the priorities of reconstruction and arthroplasty].Unfallchirurgie (Heidelberg, Germany) · 2026Review
- Fractures Around the Knee-Significant Achievements During the Past 25 Years and Major Questions to Be Solved.Journal of clinical medicine · 2026Review
- Evaluation of posterolateral tibial plateau fracture treatment using a modified anterolateral bimuscular approach: a technical note and retrospective study.BMC surgery · 2026Article
- Arthroscopically assisted refixation of bony ACL tears with accompanying posteraleral tibial plateau ("apple bite") fractures - a minimally invasive treatment approach.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Lateral articular line versus extended anterolateral approach for Schatzker type II-III tibial plateau fractures.The Journal of international medical research · 2026Article
- Association between articular surface depression and functional outcomes after ORIF of tibial plateau fractures: a retrospective cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Location of lateral tibial plateau fractures relative to the posterolateral complex predicts the need for extension of lateral approaches: A retrospective observational study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Observational
- Arthroscopic bone grafting for Schatzker III tibial plateau fractures: a retrospective comparative study.Scientific reports · 2025Article
- Lateral epicondyle osteotomy results in improved radiologic and functional outcomes in severe lateral tibial plateau fractures: a retrospective cohort study.Journal of orthopaedic surgery and research · 2025Article
- A novel approach for managing the incisions of tibial plateau fractures with soft tissue swelling.Scientific reports · 2025Article
- Lack of standardisation in the management of complex tibial plateau fractures: a multicentre experience.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Outcomes of Anterior Lateral Approach and Gerdy's Tubercle Osteotomy for Tibial Plateau Fractures Involving the Posterior Lateral Condyle: A Retrospective Study of 20 Patients.Medical science monitor : international medical journal of experimental and clinical research · 2024Article
- 3D printing combined with anteroposterior cannulated screws for the treatment of posterolateral tibial plateau fracture.BMC musculoskeletal disorders · 2023Article
- [Intra-articular proximal tibia fractures].Unfallchirurgie (Heidelberg, Germany) · 2023Article
- Comparison of the intraarticular osteotomy and the "window" osteotomy in the treatment of tibial plateau fracture involving depressed posterolateral fragments.BMC musculoskeletal disorders · 2023Article
- Letter to the editor of: "posterior tibial plateau impaction fractures are not associated with increased knee instability: a quantitative pivot shift analysis".Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Nanoscopy and an extended lateral approach can improve the management of latero-central segments in tibial plateau fractures: a cadaveric study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Anterolateral versus modified posterolateral approach for tibial plateau fractures with involvement of the posterior column: a cadaveric study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- The influence of 3D printing on inter- and intrarater reliability on the classification of tibial plateau fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- The Comparison Between 3.5- and 4.5-mm T-plates for Management of the Patients with Schatzker Type II Tibial Plateau Fractures that Referred to our Emergency Department: A Clinical Trial.Advanced biomedical research · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Malreduction after tibial plateau fractures mainly occurs due to insufficient visualization of the articular surface. In 85% of all C-type fractures an involvement of the posterolateral-central segment is observed, which is the main region of malreduction. The choice of the approach is determined (1) by the articular area which needs to be visualized and (2) the positioning of the fixation material. For simple lateral plateau fractures without involvement of the posterolateral-central segment an anterolateral standard approach in supine position with a lateral plating is the treatment of choice in most cases. For complex fractures the surgeon has to consider, that the articular surface of the lateral plateau only can be completely visualized by extended approaches in supine, lateral and prone position. Anterolateral and lateral plating can also be performed in supine, lateral and prone position. A direct fixation of the posterolateral-central segment by a plate or a screw from posterior can be only achieved in prone or lateral position, not supine. The posterolateral approach includes the use of two windows for direct visualization of the fracture. If visualization is insufficient the approach can be extended by lateral epicondylar osteotomy which allows exposure of at least 83% of the lateral articular surface. Additional central subluxation of the lateral meniscus allows to expose almost 100% of the articular surface. The concept of stepwise extension of the approach is helpful and should be individually performed as needed to achieve anatomic reduction and stable fixation of tibial plateau fractures.
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