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Original Articles
- Operative Treatment of Proximal Tibial Plateau Fractures through Lateral Submeniscal Approach
- Hyug Su An, Se Ang Chang, Jun Woo Park, Jin Seok Lee, Hun Ho Bang
- J Korean Fract Soc 2004;17(3):237-242. Published online July 31, 2004
- DOI: https://doi.org/10.12671/jkfs.2004.17.3.237
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Abstract
PDF - PURPOSE
The purpose of this study was conducted to evaluate the clinical results of proximal tibial plateau fractures treated with open reduction and internal fixation through the lateral submeniscal approach and allowed early motion of the knee and to evaluate the effectiveness of the approach.
MATERIALS AND METHODS
From January 1998 to December 2002, fifty four patients who underwent open reduction through the lateral submeniscal approach for proximal tibia plateau fracture and had a follow-up more than one year were included in this study. Clinical results were evaluated by postoperative radiographs taken at the last follow-up and Porter's assessment method.
RESULTS
Anatomical reduction was achieved under direct vision through the submeniscal approach in most of the cases in this study. The postoperative radiographs showed anatomical reduction in 32 cases (59%) and adequate reduction with displacement within 2 mm in 20 cases (37%). The clinical evaluation by Porter's assessment method revealed that 49 cases (91%) were acceptable results of excellent or good at the final follow-up CONCLUSION: This study indicates that open reduction and internal fixation through the lateral submeniscal approach can be a good option for proximal tibia plateau fractures because it allows accurate reduction of the articular fractures, which is confirmed directly during operation, identification and repair of associated soft tissue injuries are facilitated, sufficient bone graft and stable fixation of the articular fragments under direct vision allow early motion of the knee.
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- Lateral Submeniscal Approach in the Treatment of Tibial Condyle Fracture
- Weon Yoo Kim, Jin Young Kim, Woo Sung Choi, Yong Hwan Kim, Bum Sung Lee, Young Mo Kim, Chang Whan Han
- J Korean Soc Fract 2003;16(4):496-503. Published online October 31, 2003
- DOI: https://doi.org/10.12671/jksf.2003.16.4.496
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Abstract
PDF
- PURPOSE
To evaluate the radiologic and functional results of treatment in proximal tibial plateau fracture using lateral submeniscal approach, which is a relatively minimally invasive approach to tibial condylar articular surface.
MATERIALS AND METHODS
Twenty three cases of tibial plateau fracture which treated with submeniscal approach were analyzed with one year follow up. The results were evaluated by immediate postoperative radiographic and Hohl's clinical evaluation.
RESULTS
Tibial articular surface could be in operation field and the articular surface could be restored the anatomically by elevating the depressed articular surface and bone graft to the empty space. The postoperative radiography showed that most cases (91%) could be reduced adequately (within 2 mm). The clinical evaluation by Hohl's criteria revealed excellent 7 cases (30%), good 12 cases (52%), fair 3 cases (13%), and one poor case (4%).
CONCLUSION
Submeniscal approach can identify the articular surface and intraarticular soft tissues with minimal incision, and allows anatomical reduction, sufficient bone graft, rigid plate fixation and soft tissue treatment, therefore it is one of the good approach in treatment of proximal tibial plateau fracture.
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