Sun Da-Hui, Zhao Yi, Zhang Ji-Ting, Zhu Dong, Qi Bao-Chang
Department of Orthopedic Traumatology, The First Hospital of Jilin University, Changchun, China.
Medicine (Baltimore). 2018 Jan;97(3):e9669. doi: 10.1097/MD.0000000000009669.
It is challenging to visualize and reduce a posterolateral tibial plateau fracture through an anterolateral approach as the tibial plateau fragments are often covered by the fibular head and ligamentous structures.
In this case report, we describe a patient with a depression fracture of the posterolateral quadrant combined with a split fracture of the posteromedial quadrant and an avulsion fracture of the tibial intercondylar eminence.
Tibial plateau fracture(AO type 41-B3).
A posteromedial approach combined with an anterolateral approach and an osteotomy involving the proximal tibiofibular joint of the tibial plateau was used to expose, reduce, and fix the fracture.
There was no risk of injury to the common peroneal nerve or ligaments. The patient is recovering well and is satisfied with the function of the injured knee.
We recommend anterolateral tibial plateau osteotomy for the treatment of posterolateral tibial plateau fractures in clinical practice.
通过前外侧入路来可视化并复位胫骨平台后外侧骨折具有挑战性，因为胫骨平台骨折块常被腓骨头和韧带结构覆盖。
在本病例报告中，我们描述了一名患者，其胫骨平台后外侧象限存在凹陷骨折，合并后内侧象限劈裂骨折以及胫骨髁间隆起撕脱骨折。
胫骨平台骨折（AO 型 41-B3）。
采用后内侧入路联合前外侧入路以及涉及胫骨平台近端胫腓关节的截骨术来暴露、复位和固定骨折。
无腓总神经或韧带损伤风险。患者恢复良好，对受伤膝关节的功能满意。
我们建议在临床实践中采用胫骨平台前外侧截骨术治疗胫骨平台后外侧骨折。
