Department of Trauma and Orthopaedic Surgery, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany.
Department of Trauma, Orthopaedic Surgery and Sports Traumatology, BG Trauma Hospital Hamburg, Hamburg, Germany.
Eur J Trauma Emerg Surg. 2020 Dec;46(6):1221-1226. doi: 10.1007/s00068-020-01467-1. Epub 2020 Aug 31.
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.
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.
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.
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.
胫骨平台骨折的解剖复位仍然具有挑战性。为了进一步观察关节面并接近关节面，最近描述了一种采用外侧股骨髁截骨和外侧半月板脱位的扩展外侧入路。本可行性研究介绍了该技术的初步临床和放射学中期结果。
前瞻性分析了 10 例采用外侧入路和外侧半月板脱位治疗的复杂胫骨平台骨折。根据 Rasmussen 评分对临床和影像学结果进行客观评估。
平均随访 8.6（IQR 4.3）个月后，临床和影像学结果良好至优秀。临床 Rasmussen 评分为 25（IQR 2.8），影像学评分为 17（IQR 2.0）。
采用外侧股骨髁截骨和中央半月板脱位的扩展外侧入路可获得良好至优秀的临床和影像学评分。未观察到特定于入路的并发症。
