Extended approach to the lateral tibial plateau with central meniscal subluxation in fracture repair: feasibility and first clinical and radiographic results

Purpose Anatomic reduction in tibial plateau fractures remains to be demanding. For further visualisation of and approach to the joint surface an extended lateral approach using a lateral femoral epicondyle osteotomy and subluxation of the lateral meniscus was recently described. First clinical and...

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Bibliographic Details
Published in:European journal of trauma and emergency surgery (Munich : 2007) 2020-12, Vol.46 (6), p.1221-1226
Main Authors: Korthaus, Alexander, Ballhause, Tobias Malte, Kolb, Jan-Philipp, Krause, Matthias, Frosch, Karl-Heinz, Hartel, Maximilian J.
Format: Article
Language:English
Subjects:
Critical Care Medicine
Emergency medical care
Emergency Medicine
Feasibility studies
Fractures
Intensive
Knee
Medicine
Medicine & Public Health
Original
Original Article
Orthopedics
Sports Medicine
Surgery
Surgical Orthopedics
Traumatic Surgery
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Summary:Purpose Anatomic reduction in tibial plateau fractures remains to be demanding. For further visualisation of and approach to the joint surface an extended lateral approach using a lateral femoral epicondyle osteotomy and subluxation of the lateral meniscus was recently described. First clinical and radiographic mid-term results of this technique are presented in this feasibility study. Method Ten complex tibial plateau fractures treated with extended lateral approach and lateral meniscal subluxation were prospectively analysed. Clinical and radiographic results were objectified according to the Rasmussen scores. Results After a median follow-up of 8.6 (IQR 4.3) months good to excellent clinical and radiographic results were noted. The clinical Rasmussen Score showed a median of 25 (IQR 2.8) and radiographic a median of 17 (IQR 2.0) points. Conclusion Good to excellent clinical and radiological scores were obtained after using an extended lateral approach with lateral femoral epicondyle osteotomy and central meniscus subluxation. No approach specific complications could be observed.
ISSN:1863-9933
1863-9941
DOI:10.1007/s00068-020-01467-1