title: Combined lateral femoral epicondylar osteotomy and a submeniscal approach for the treatment of a tibial plateau fracture involving the posterolateral quadrant.
abstract: Exposure of a tibial plateau fracture involving the posterolateral quadrant is challenging, and several approaches for treating these fractures have been introduced. However, these approaches may have limited applicability, and they can potentially cause neurovascular, musculotendinous, or ligamentous injury of the posterolateral corner. Lateral femoral epicondylar osteotomy has been used for meniscal transplantation, total knee arthroplasty, and the treatment of posterolateral articular disorders of the femur and tibia. We encountered a case of a tibial plateau fracture involving the posterolateral quadrant without an anterior-extending fracture line. We successfully exposed, reduced, and fixed the fracture using combined lateral femoral epicondylar osteotomy and a submeniscal approach. This combined modality can be used as an alternative surgical technique for the treatment of tibial plateau fractures involving the posterolateral quadrant.
authors.affiliation: Orthopedic Trauma Division, Trauma Center, Gacheon University Gil Hospital, 21, Namdong-daero 774 beon-gil, Namdong-gu, Incheon 405-760, Republic of Korea. Electronic address: dryoonyc@gmail.com.
authors.forename: Yong-Cheol
authors.initials: YC
authors.lastname: Yoon
authors.affiliation: Department of Orthopaedic Surgery, Gacheon University Gil Hospital, 21, Namdong-daero 774 beon-gil, Namdong-gu, Incheon 405-760, Republic of Korea. Electronic address: sim_ja@daum.net.
authors.forename: Jae-Ang
authors.initials: JA
authors.lastname: Sim
authors.affiliation: Department of Orthopaedic Surgery, Gacheon University Gil Hospital, 21, Namdong-daero 774 beon-gil, Namdong-gu, Incheon 405-760, Republic of Korea. Electronic address: disciple23@naver.com.
authors.forename: Dong-Hyun
authors.initials: DH
authors.lastname: Kim
authors.affiliation: Department of Orthopaedic Surgery, Gacheon University Gil Hospital, 21, Namdong-daero 774 beon-gil, Namdong-gu, Incheon 405-760, Republic of Korea. Electronic address: bklee@gilhospital.com.
authors.forename: Beom-Koo
authors.initials: BK
authors.lastname: Lee
mesh_terms: D000058:Accidental Falls; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods*; D013978:Tibial Fractures / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome
keywords: Lateral femoral epicondylar osteotomy; Posterolateral quadrant; Submeniscal approach; Tibia plateau fracture