Patel Siddharth K, Khan Sohael, Lohiya Ashutosh, Goyal Saksham
Department of Orthopaedics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 Mar 2;16(3):e55416. doi: 10.7759/cureus.55416. eCollection 2024 Mar.
Lateral tibial plateau fractures are generally present as depressed fractures. The lateral tibial plateau is more common than the medial tibial plateau, often due to a bumper injury. If depressed fragments are more than 8-10 mm, then surgical management is usually needed. Anterolateral fixation is frequently used for unicondylar lateral tibial plateau fractures. Here, we present an articular depressed lateral tibia plateau fracture in a Schatzker type 3 case. The fracture was managed through an anterolateral approach with sub-meniscal arthrotomy, allowing for direct visualization and subsequent fixation using bone cement and a cannulated cancellous screw. Postoperative imaging confirmed proper reduction, and the patient had a satisfactory outcome..
胫骨外侧平台骨折通常表现为凹陷性骨折。胫骨外侧平台骨折比内侧平台骨折更常见,通常是由于保险杠损伤所致。如果凹陷骨折块超过8 - 10毫米,通常需要手术治疗。单髁胫骨外侧平台骨折常采用前外侧固定。在此,我们展示一例Schatzker 3型关节凹陷性胫骨外侧平台骨折病例。该骨折通过前外侧入路并进行半月板下关节切开术进行处理,可实现直视,随后使用骨水泥和空心松质骨螺钉进行固定。术后影像学检查证实复位良好,患者预后满意。