CC BY-NC-ND 4.0 · Revista Chilena de Ortopedia y Traumatología 2021; 62(01): 039-045
DOI: 10.1055/s-0041-1728737
Case Report | Caso Clínico

Extended Anterolateral Approach and Rim Plate Fixation for Posterolateral Fragments in Tibial Plateau Fractures

Article in several languages: español | English
Rodrigo Guiloff
1  Clínica Alemana de Santiago SA, Región Metropolitana, Santiago, Chile
,
Magaly Iñiguez
2  Complejo Asistencial Dr. Sótero del Río, Puente Alto, Región Metropolitana, Santiago, Chile
,
Alfredo Sandoval
2  Complejo Asistencial Dr. Sótero del Río, Puente Alto, Región Metropolitana, Santiago, Chile
,
Franciso Figueroa
2  Complejo Asistencial Dr. Sótero del Río, Puente Alto, Región Metropolitana, Santiago, Chile
,
Tomás Prado
2  Complejo Asistencial Dr. Sótero del Río, Puente Alto, Región Metropolitana, Santiago, Chile
,
Sebastián Cabrera
2  Complejo Asistencial Dr. Sótero del Río, Puente Alto, Región Metropolitana, Santiago, Chile
,
Oscar Colmenares
2  Complejo Asistencial Dr. Sótero del Río, Puente Alto, Región Metropolitana, Santiago, Chile
,
Eduardo Carrasco
2  Complejo Asistencial Dr. Sótero del Río, Puente Alto, Región Metropolitana, Santiago, Chile
› Author Affiliations

Abstract

Posterolateral fragments (PLFs) are commonly seen in tibial plateau fractures, but their reduction and fixation are challenging. There is no consensus about the ideal approach to fix this particular fragment. Even though an anterolateral approach is a safe option, it may impair a correct reduction. The posterolateral and posterior approaches offer direct visualization of the fragment, and enable a fixation with a biomechanical advantage; however, they are more demanding and expose the patient to a higher risk if morbidity. The following technical note describes the reduction and fixation of PLFs with a rim plate through an extended anterolateral approach using the paralateral collateral ligament space.



Publication History

Received: 21 July 2020

Accepted: 21 January 2021

Publication Date:
02 June 2021 (online)

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