Department of Orthopaedic Surgery, Khoo Teck Puat Hospital, 90 Yishun Central, 768828, Singapore.
Department of Orthopaedic Surgery, Khoo Teck Puat Hospital, 90 Yishun Central, 768828, Singapore.
Injury. 2022 Jun;53(6):2373-2378. doi: 10.1016/j.injury.2022.03.016. Epub 2022 Mar 9.
The approach to pure depression fractures (PDF) of the posterolateral tibial plateau (PTP) is classically a posterior approach via a metaphyseal osteotomy window with elevation of the depressed articular fragment. Other posterolateral approaches have been described but have been criticized for affecting reduction quality, and risks to the common peroneal nerve.
In this case series, we describe a standard anterolateral approach with a window osteotomy through the metaphysis. Elevation of the PTP fracture is done through the osteotomy site.
The standard anterolateral approach avoids limitations of posterior or posterolateral approaches. Adequate reduction and good fixation of PDF of the PTP is attained.
The anterolateral approach with osteotomy of the lateral condyle is reproducible and familiar. This avoids the need for a fibula osteotomy and the risks of neurovascular injury, while allowing adequate visualisation and fracture reduction.
IV.
经典的治疗后外侧胫骨平台（PTP）单纯压缩性骨折（PDF）的方法是通过干骺端截骨窗进行后路入路，抬高凹陷的关节碎片。也有其他后外侧入路的方法被描述，但这些方法被批评为会影响复位质量，并增加腓总神经损伤的风险。
在本病例系列中，我们描述了一种通过干骺端开窗的标准前外侧入路。通过该入路进行 PTP 骨折的抬高。
标准前外侧入路避免了后路或后外侧入路的局限性。可以实现 PTP 的 PDF 充分复位和良好固定。
外侧髁骨切开的前外侧入路具有可重复性和熟悉性。这避免了腓骨截骨的需要和神经血管损伤的风险，同时允许充分的可视化和骨折复位。
IV。
