title: [Clinical study on treatment of posterolateral fracture of tibial plateau via superior fibular head approach].
abstract: OBJECTIVE
  To observe the effectiveness of the superior fibular head approach for the treatment of posterolateral fracture of the tibial plateau.
  
  
  METHODS
  Between June 2010 and February 2012, 20 cases of posterolateral fracture of the tibial plateau were treated through superior fibular head approach, including 1 case of simple posterolateral fracture of the tibial plateau and 19 cases of posterolateral fracture of the tibial plateau with other fractures. There were 12 males and 8 females with an average age of 42.2 years (range, 28-58 years). All patients had closed fractures. Fracture was caused by traffic accident in 14 cases, by falling from height in 4 cases, and by twist injury in 2 cases. Associated injuries included lateral meniscus injury in 5 cases, medial meniscus injury in 2 cases, and anterior cruciate ligament injury in 1 case. The time from injury to admission ranged from 90 minutes to 32 hours (mean, 4.5 hours), and the time from admission to operation was 5-12 days (mean, 7.8 days). All cases underwent fracture reduction and fixation with Pilon plates through the superior fibular head approach, and associated fracture and meniscal injury were treated.
  
  
  RESULTS
  All incisions healed by first intention, and no numbness or articular instability occurred. All patients were followed up 6-26 months (mean, 19.1 months). The average fracture healing time was 10.2 weeks (range, 8-12 weeks). During following-up, no related complication of fixation loosening or articular surface loss occurred. According to Rasmussen knee score criteria at last follow-up, the score was 18-30 (mean, 27.9); 16 cases were graded as excellent, 3 cases as good, and 1 case as fair, with an excellent and good rate of 95%.
  
  
  CONCLUSIONS
  The superior fibular head approach for the treatment of posterolateral fracture of the tibial plateau is simple, safe, and effective, and can achieve a good surgical outcome.
authors.affiliation: Department of Orthopaedics, the 101st Hospital of Chinese PLA, Wuxi Jiangsu, 214044, P.R.China. doctor_cxd@163.com
authors.forename: Xudong
authors.initials: X
authors.lastname: Chu
authors.forename: Xiaohui
authors.initials: X
authors.lastname: Liu
authors.forename: Weinan
authors.initials: W
authors.lastname: Chen
authors.forename: Jianming
authors.initials: J
authors.lastname: Gao
authors.forename: Yuchun
authors.initials: Y
authors.lastname: Luo
authors.forename: Jianping
authors.initials: J
authors.lastname: Zhu
authors.forename: Fujin
authors.initials: F
authors.lastname: Cai
authors.forename: Min
authors.initials: M
authors.lastname: Zhou
mesh_terms: D000328:Adult; D001860:Bone Plates; D001863:Bone Screws; D005260:Female; D005360:Fibula / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D017102:Fracture Healing; D005596:Fractures, Closed / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007718:Knee Injuries / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D008592:Menisci, Tibial / Q000000981:diagnostic imaging / Q000601:surgery; D008875:Middle Aged; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D000070600:Tibial Meniscus Injuries; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome