Yoon Yong-Cheol, Sim Jae-Ang, Kim Dong-Hyun, Lee Beom-Koo
Orthopedic Trauma Division, Trauma Center, Gacheon University Gil Hospital, 21, Namdong-daero 774 beon-gil, Namdong-gu, Incheon 405-760, Republic of Korea.
Department of Orthopaedic Surgery, Gacheon University Gil Hospital, 21, Namdong-daero 774 beon-gil, Namdong-gu, Incheon 405-760, Republic of Korea.
Injury. 2015 Feb;46(2):422-6. doi: 10.1016/j.injury.2014.12.006. Epub 2014 Dec 13.
Exposure of a tibial plateau fracture involving the posterolateral quadrant is challenging, and several approaches for treating these fractures have been introduced. However, these approaches may have limited applicability, and they can potentially cause neurovascular, musculotendinous, or ligamentous injury of the posterolateral corner. Lateral femoral epicondylar osteotomy has been used for meniscal transplantation, total knee arthroplasty, and the treatment of posterolateral articular disorders of the femur and tibia. We encountered a case of a tibial plateau fracture involving the posterolateral quadrant without an anterior-extending fracture line. We successfully exposed, reduced, and fixed the fracture using combined lateral femoral epicondylar osteotomy and a submeniscal approach. This combined modality can be used as an alternative surgical technique for the treatment of tibial plateau fractures involving the posterolateral quadrant.
涉及后外侧象限的胫骨平台骨折的显露具有挑战性，并且已经引入了几种治疗这些骨折的方法。然而，这些方法的适用性可能有限，并且它们可能会导致后外侧角的神经血管、肌腱或韧带损伤。股骨外侧髁截骨术已用于半月板移植、全膝关节置换以及股骨和胫骨后外侧关节疾病的治疗。我们遇到了一例涉及后外侧象限且无前向延伸骨折线的胫骨平台骨折病例。我们使用联合股骨外侧髁截骨术和半月板下入路成功地显露、复位并固定了骨折。这种联合方式可作为治疗涉及后外侧象限的胫骨平台骨折的一种替代手术技术。
