title: Combined anterior and posterior approaches for complex tibial plateau fractures.
abstract: We report the use of combined anterior and posterior approaches for the reduction and fixation of complex tibial plateau fractures involving a large split posteromedial fragment. In four patients, we used a posterior plate to fix the posteromedial fragment. All fractures united in good position with no significant complications, and all patients had a good range of knee movement. This technique should be considered for complex fractures in which there is a substantial posteromedial fragment (split) component.
authors.affiliation: Department of Orthopaedic Surgery, Wayne State University, Detroit, Michigan 48201.
authors.forename: G M
authors.initials: GM
authors.lastname: Georgiadis
mesh_terms: D000328:Adult; D001860:Bone Plates; D005593:Fracture Fixation, Internal / Q000295:instrumentation*; D006801:Humans; D007718:Knee Injuries / Q000601:surgery*; D007719:Knee Joint / Q000000981:diagnostic imaging / Q000502:physiology; D008297:Male; D011859:Radiography; D016059:Range of Motion, Articular; D013978:Tibial Fractures / Q000601:surgery*