How can the articular surface of the tibial plateau be best exposed? A comparison of specific surgical approaches
| Autor: | Sebastian Krüger, Karl-Heinz Frosch, Klaus Püschel, Gunnar Müller, Matthias Krause |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
musculoskeletal diseases Knee Joint medicine.medical_treatment Plateau (mathematics) Osteotomy Fracture Fixation Internal 03 medical and health sciences 0302 clinical medicine Cadaver Fracture fixation Humans Medicine Orthopedics and Sports Medicine Aged Aged 80 and over Orthodontics Arthrotomy 030222 orthopedics Surgical approach Tibia business.industry 030229 sport sciences General Medicine Middle Aged Articular surface musculoskeletal system Tibial Fractures Female Surgery business Epicondyle |
| Zdroj: | Archives of Orthopaedic and Trauma Surgery. 139:1369-1377 |
| ISSN: | 1434-3916 0936-8051 |
| Popis: | The correct choice of a fracture-specific surgical approach with an articular accessibility in complex tibial plateau fractures to facilitate durable fracture fixation of the anatomic articular reconstruction is under debate, as the most important risk factor for malreduction in complex tibial plateau fractures is an impaired visualization of the articular surface. Six established surgical approaches were simulated on 12 cadaver knees. The visible articular surface was labeled with an electrocautery device for each approach and subsequently analyzed with ImageJ. Areas of each hemiplateau were compared using the Student’s t test. In the lateral tibial plateau, the dorsal 19.0 ± 5.8% of the articular surface could be exposed via the postero-lateral approach. Via the antero-lateral arthrotomy, 36.6 ± 9.4% of the anterior articular surface was visible. The additional osteotomy of the lateral femoral epicondyle significantly increased the exposure to 65.6 ± 7.7% (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink