PMID- 24735864
OWN - NLM
STAT- MEDLINE
DCOM- 20140902
LR  - 20211021
IS  - 1749-799X (Electronic)
IS  - 1749-799X (Linking)
VI  - 9
DP  - 2014 Apr 15
TI  - An osteotomy anterolateral approach for lateral tibial plateau fractures merged 
      with relatively simple and intact posterolateral corner displacement.
PG  - 26
LID - 10.1186/1749-799X-9-26 [doi]
AB  - INTRODUCTION: This study investigates the safety and efficacy of anterolateral 
      (AL) osteotomy for the treatment of lateral tibial plateau fractures merged with 
      relatively simple and intact posterolateral (PL) corner displacement and screens 
      applicable patients. METHODS: Totally, 11 patients with lateral tibial plateau 
      fractures involving the PL corner were included in this study. Of them, seven 
      patients sustained their injuries from motor vehicle accidents (MVAs), three from 
      sports and one from fall from height. All of them received open reduction and 
      internal fixation through the AL approach. Operation time, incision length, range 
      of motion (ROM), Hospital for Special Surgery (HSS) knee score, time of union and 
      complications were retrospectively reviewed. Tibial plateau angle (TPA), lateral 
      posterior slope angle (PSA) and articular step-off reduction after surgery were 
      examined by a radiograph technique. RESULTS: Statistically, the means of 
      operation time, incision length, ROM and follow-up period were 82 min, 11 cm, 97 degrees  
      and 27 months, respectively. Three patients had slight complications: superficial 
      infection, hardware irritation and secondary valgus deformity, without severe 
      neural or vascular injuries, which revealed the safety and efficacy of the PL 
      treatment. The average HSS knee score was 91.2 (range 86-96). Reduction (mean TPA 
      87.2 degrees  and mean PSA 8.3 degrees ) was satisfactory in 10 patients, except for one patient 
      with a radiographic articular step-off of 5 mm (case 10). CONCLUSIONS: The AL 
      approach is safe and effective for lateral tibial plateau fractures involving the 
      PL corner, especially for fractures merged with simple and intact PL corner 
      displacement (depression and/or split).
FAU - Meng, De-peng
AU  - Meng DP
FAU - Ye, Tian-wen
AU  - Ye TW
FAU - Chen, Ai-min
AU  - Chen AM
AD  - Department of Orthopedic Surgery, Changzheng Hospital, The Second Military 
      Medical University, 415 Fengyang Road, Huangpu District, Shanghai 200003, China. 
      aiminchen@aliyun.com.
LA  - eng
PT  - Journal Article
PT  - Retracted Publication
DEP - 20140415
PL  - England
TA  - J Orthop Surg Res
JT  - Journal of orthopaedic surgery and research
JID - 101265112
SB  - IM
RIN - J Orthop Surg Res. 2015;10:47. PMID: 25879700
MH  - Adult
MH  - Female
MH  - Follow-Up Studies
MH  - Fracture Fixation, Internal/*methods
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Osteotomy/*methods
MH  - Radiography
MH  - Retrospective Studies
MH  - Tibial Fractures/*diagnostic imaging/*surgery
MH  - Treatment Outcome
MH  - Young Adult
PMC - PMC4234934
EDAT- 2014/04/17 06:00
MHDA- 2014/09/03 06:00
PMCR- 2014/04/15
CRDT- 2014/04/17 06:00
PHST- 2013/11/06 00:00 [received]
PHST- 2014/03/12 00:00 [accepted]
PHST- 2014/04/17 06:00 [entrez]
PHST- 2014/04/17 06:00 [pubmed]
PHST- 2014/09/03 06:00 [medline]
PHST- 2014/04/15 00:00 [pmc-release]
AID - 1749-799X-9-26 [pii]
AID - 10.1186/1749-799X-9-26 [doi]
PST - epublish
SO  - J Orthop Surg Res. 2014 Apr 15;9:26. doi: 10.1186/1749-799X-9-26.