Optimizing the management of Moore type I postero-medial split fracture dislocations of the tibial head: description of the Lobenhoffer approach.
Moore type I tibial plateau fracture-dislocations pose a significant challenge to the treating surgeon. The displaced posteromedial fragment is difficult to reduce and adequately stabilize through traditional approaches. The Lobenhoffer approach provides the necessary access to the posterior surface of the proximal tibia but has only been described in the German-language literature. It involves a less extensive soft tissue dissection than that required by other posterior approaches. We provide the first English-language description of the technique, with 2 cases presented as illustrations of the approach.
Fakler
Johannes K M
JK
Department of Trauma and Reconstructive Surgery, Charité University Medical School, Campus Benjamin Franklin, 12200 Berlin, Germany.
Ryzewicz
Mark
M
Hartshorn
Cody
C
Morgan
Steven J
SJ
Stahel
Philip F
PF
Smith
Wade R
WR
D000328:Adult; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D031221:Knee Dislocation / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*