Evidence map›Paper›PMID 38769283›Full record

ArticleJournal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology2024

Modified Oblique Lobenhoffer (MOL) approach for posterolateral and posteromedial column access in tibial plateau fractures: a detailed cadaveric anatomical study.

Juan Boluda-Mengod, Beatriz Olías-López, Pau Forcada-Calvet, Azucena Martín-Herrero, Mario Herrera-Pérez, Javier Álvarez-De-La-Cruz, Alejandro Herrera-Rodríguez, José Luis Pais-Brito

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Juan Boluda-MengodOrthopaedic Trauma Unit, Department of Orthopaedics, Hospital Universitario Canarias (HUC), Carretera Ofra S/N, 38320, La Laguna, Tenerife, Spain. juanboludacot@gmail.com.ORCID http://orcid.org/0000-0002-8667-0149
Beatriz Olías-LópezOrthopaedic Trauma Unit, Department of Orthopaedics, Hospital Universitario Canarias (HUC), Carretera Ofra S/N, 38320, La Laguna, Tenerife, Spain.
Pau Forcada-CalvetDepartment of Anatomy, Faculty of Medicine, Universitat de Lleida (UdL), Avinguda de L'Alcalde Rovira Roure, 80, 25198, Lleida, Spain.
Azucena Martín-HerreroOrthopaedic Trauma Unit, Department of Orthopaedics, Hospital Universitario Canarias (HUC), Carretera Ofra S/N, 38320, La Laguna, Tenerife, Spain.
Mario Herrera-PérezDepartment of Orthopaedics, Hospital Universitario Canarias (HUC), Carretera Ofra S/N, 38320, La Laguna, Tenerife, Spain.
Javier Álvarez-De-La-CruzDepartment of Orthopaedics, Hospital Universitario Canarias (HUC), Carretera Ofra S/N, 38320, La Laguna, Tenerife, Spain.
Alejandro Herrera-RodríguezDepartment of Orthopaedics, Hospital Universitario Canarias (HUC), Carretera Ofra S/N, 38320, La Laguna, Tenerife, Spain.
José Luis Pais-BritoDepartment of Orthopaedics, Hospital Universitario Canarias (HUC), Carretera Ofra S/N, 38320, La Laguna, Tenerife, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTibial plateau fractures involving posteromedial (PM) and posterolateral (PL) columns are complex injuries that require an appropriate approach. The management of the PL column in these cases can be controversial, and limitations using deep posteromedial interval approaches have been referenced. In this paper, a modification of the Lobenhoffer approach, designed to optimize the access to the PL column, is described in detail. The aim of this study was to assess the feasibility of this approach in a cadaveric anatomical study. MATERIALS AND

methodsIn total, five fresh-frozen cadaveric specimens were used for detailed anatomical study surrounding the approach. Relationships with cutaneous and deep neurovascular structures were evaluated. The exposure area of the PL and PM columns using this approach was assessed.

resultsThe cadaveric study showed safe and adequate exposure. Oblique skin and fascia incision just medial to the posterior midline was safe to protect the medial sural cutaneous nerve and the small saphenous vein. Elevation of the popliteus and tibialis posterior muscles offered safe protection of the anterior tibial artery and popliteal neurovascular bundle during retractor placement. Adequate full proximal exposure of the PM and PL columns, including the posterolateral lateral (PLL) and posterolateral central (PLC) segments, was obtained in all specimens.

conclusionsThe Modified Oblique Lobenhoffer (MOL) approach can be a feasible option to access PL and PM columns in tibial plateau fractures. LEVEL OF EVIDENCE: IV.

Indexed as

CadaverFracture Fixation, InternalTibial Plateau FracturesFeasibility StudiesHumansLobenhoffer approachMain Deformity DirectionModified Oblique LobenhofferPosterolateral columnSurgical approachSurgical techniqueTibial plateau fracture

Identifiers

PMID38769283
PMCPMC11106229

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.