Posterior coronal plating of bicondylar tibial plateau fractures through posteromedial and anterolateral approaches in a healthy floating supine position.
Bicondylar tibial plateau fractures pose a significant challenge for treating surgeons. If the articular surface of the medial plateau has a second split component in the posterior coronal plane, it is difficult to get direct visualization and ensure plate fixation when the patient is in the supine position. Using a technique in which a single preparation and draping of both legs is needed, patients were operated on using a healthy floating supine position maneuver through dual posteromedial and anterolateral incisions and triple plate fixations. By flexing and adducting the contralateral healthy hip over the injured leg, more lateral rotation of the fractured knee can be achieved, providing better access and visualization of the posterior medial plateau using a posteromedial gastrocnemius approach.
Department of Orthopedic Surgery, Tongji Hospital, Tongji University, 389 Xincun Rd, Shanghai 200065, People’s Republic of China. shiminchang@ yahoo.com.cn
Shi-Min
SM
Chang
Xin
X
Wang
Jia-Qian
JQ
Zhou
Yi-Gang
YG
Huang
Xiao-Zhong
XZ
Zhu
D001860:Bone Plates; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods*; D006801:Humans; D056888:Patient Positioning / Q000379:methods*; D011859:Radiography; D016683:Supine Position; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome