title: Retropatellar nailing and condylar bolts for complex fractures of the tibial plateau: technique, pilot study and rationale.
abstract: In a previous study, condylar compression bolts and intramedullary nailing with the use of a traditional transpatellar tendon approach were employed for the management of non-impacted complex fractures of the tibia plateau. However, there were intra-operative difficulties, related to the surgical approach that could jeopardise fracture reduction and contribute to sub-optimal outcomes. The purpose of this study is to introduce the retropatellar approach for the management of complex tibial plateau fractures with intramedullary nailing and condylar compression bolts that avoid the pitfalls created by the traditional transpatellar approach.
authors: Orthopaedic Department, "Evangelismos" General Hospital, Athens, Greece. Electronic address: cgarn@otenet.gr.
authors: Christos
authors: C
authors: Garnavos
mesh_terms: D001858:Bone Nails; D005260:Female; D005594:Fracture Fixation, Intramedullary / Q000379:methods*; D017102:Fracture Healing; D018460:Fractures, Comminuted / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D010865:Pilot Projects; D017410:Practice Guidelines as Topic; D016059:Range of Motion, Articular; D013978:Tibial Fractures / Q000503:physiopathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Bicondylar tibia plateau fracture; Complex tibia plateau fracture; Compression bolts; Condylar bolts; Intramedullary nailing; Retropatellar approach; Retropatellar technique