The anatomical relationship of the neurovascular structures in direct posterior lateral gastrocnemius split approach for posterolateral tibial plateau fractures
| Autor: | Guzelali Ozdemir, G. Kirikci, E. Şirin, Barış Yılmaz, Alp Bayramoglu, Elif Keskinöz |
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| Přispěvatelé: | Ozdemir G., Yilmaz B., Sirin E., KESKİNÖZ E. N. , Kirikci G., BAYRAMOĞLU A. |
| Rok vydání: | 2017 |
| Předmět: |
Male
Emergency Medical Services medicine.medical_treatment Surgical approach Sağlık Bilimleri Critical Care and Intensive Care Medicine Plateau (mathematics) Clinical Medicine (MED) Fracture Fixation Internal 0302 clinical medicine Surgery Medicine Sciences Tibial plateau fracture Medicine Klinik Tıp (MED) FIXATION Orthopedics and Sports Medicine Aged 80 and over 030222 orthopedics Klinik Tıp Anatomy Middle Aged Acil Tıp Hizmetleri musculoskeletal system Tıp Posterolateral Cerrahi Tıp Bilimleri Anatomical relationship Emergency Medicine Female Anatomic Landmarks ACİL TIP Lateral gastrocnemius musculoskeletal diseases 03 medical and health sciences Acil Tıp Cadaver Health Sciences Humans Muscle Skeletal Reduction (orthopedic surgery) Aged business.industry 030208 emergency & critical care medicine CLINICAL MEDICINE medicine.disease Neurovascular bundle Tibial Fractures Surgery business Common peroneal nerve |
| Zdroj: | European Journal of Trauma and Emergency Surgery. 44:427-432 |
| ISSN: | 1863-9941 1863-9933 |
| Popis: | Purpose To evaluate the distances between the incision and neurovascular structures in direct posterior split-gastrocnemius approach for tibial plateau fractures. Methods Thirteen fresh-frozen cadavers were used in the study. The distance between the neurovascular structures medial and lateral to the incision was measured from the tibial joint line and at a level 5 cm distal to the joint line. Results The mean distance between the incision and medial neurovascular structures was 10.09 ± 3.47 mm (range 5.63–16.51 mm) at the level of the tibial joint line and 10.39 ± 2.57 mm (range 5.79–14.09 mm) at a level 5 cm distal to the joint line. The mean distance between the incision and the common peroneal nerve was 13.44 ± 4.17 mm (range 6.28–20.72 mm) at the level of the tibial joint line and 19.56 ± 5.24 mm (range 12.58–26.74 mm) at a level 5 cm distal to the joint line. Conclusions In isolated posterolateral tibial plateau fractures, it is possible to apply anatomical reduction and buttress plating on the posterior surface with a direct posterior split-gastrocnemius approach. With a thorough understanding of the regional anatomy, this approach can be safely performed by experienced orthopaedists |
| Databáze: | OpenAIRE |
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