Extended approach to the lateral tibial plateau with central meniscal subluxation in fracture repair

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Extended approach to the lateral tibial plateau with central meniscal subluxation in fracture repair : feasibility and first clinical and radiographic results. / Korthaus, Alexander; Ballhause, Tobias Malte; Kolb, Jan-Philipp; Krause, Matthias; Frosch, Karl-Heinz; Hartel, Maximilian J.

in: EUR J TRAUMA EMERG S, Jahrgang 46, Nr. 6, 12.2020, S. 1221-1226.

Publikationen: SCORING: Beitrag in Fachzeitschrift/ZeitungSCORING: ZeitschriftenaufsatzForschungBegutachtung

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@article{93138aea7bac4c99b80921bcfc1f0c86,
title = "Extended approach to the lateral tibial plateau with central meniscal subluxation in fracture repair: feasibility and first clinical and radiographic results",
abstract = "PURPOSE: Anatomic reduction in tibial plateau fractures remains to be demanding. For further visualisation of and approach to the joint surface an extended lateral approach using a lateral femoral epicondyle osteotomy and subluxation of the lateral meniscus was recently described. First clinical and radiographic mid-term results of this technique are presented in this feasibility study.METHOD: Ten complex tibial plateau fractures treated with extended lateral approach and lateral meniscal subluxation were prospectively analysed. Clinical and radiographic results were objectified according to the Rasmussen scores.RESULTS: After a median follow-up of 8.6 (IQR 4.3) months good to excellent clinical and radiographic results were noted. The clinical Rasmussen Score showed a median of 25 (IQR 2.8) and radiographic a median of 17 (IQR 2.0) points.CONCLUSION: Good to excellent clinical and radiological scores were obtained after using an extended lateral approach with lateral femoral epicondyle osteotomy and central meniscus subluxation. No approach specific complications could be observed.",
author = "Alexander Korthaus and Ballhause, {Tobias Malte} and Jan-Philipp Kolb and Matthias Krause and Karl-Heinz Frosch and Hartel, {Maximilian J}",
year = "2020",
month = dec,
doi = "10.1007/s00068-020-01467-1",
language = "English",
volume = "46",
pages = "1221--1226",
journal = "EUR J TRAUMA EMERG S",
issn = "1863-9933",
publisher = "Urban und Vogel",
number = "6",

}

RIS

TY - JOUR

T1 - Extended approach to the lateral tibial plateau with central meniscal subluxation in fracture repair

T2 - feasibility and first clinical and radiographic results

AU - Korthaus, Alexander

AU - Ballhause, Tobias Malte

AU - Kolb, Jan-Philipp

AU - Krause, Matthias

AU - Frosch, Karl-Heinz

AU - Hartel, Maximilian J

PY - 2020/12

Y1 - 2020/12

N2 - PURPOSE: Anatomic reduction in tibial plateau fractures remains to be demanding. For further visualisation of and approach to the joint surface an extended lateral approach using a lateral femoral epicondyle osteotomy and subluxation of the lateral meniscus was recently described. First clinical and radiographic mid-term results of this technique are presented in this feasibility study.METHOD: Ten complex tibial plateau fractures treated with extended lateral approach and lateral meniscal subluxation were prospectively analysed. Clinical and radiographic results were objectified according to the Rasmussen scores.RESULTS: After a median follow-up of 8.6 (IQR 4.3) months good to excellent clinical and radiographic results were noted. The clinical Rasmussen Score showed a median of 25 (IQR 2.8) and radiographic a median of 17 (IQR 2.0) points.CONCLUSION: Good to excellent clinical and radiological scores were obtained after using an extended lateral approach with lateral femoral epicondyle osteotomy and central meniscus subluxation. No approach specific complications could be observed.

AB - PURPOSE: Anatomic reduction in tibial plateau fractures remains to be demanding. For further visualisation of and approach to the joint surface an extended lateral approach using a lateral femoral epicondyle osteotomy and subluxation of the lateral meniscus was recently described. First clinical and radiographic mid-term results of this technique are presented in this feasibility study.METHOD: Ten complex tibial plateau fractures treated with extended lateral approach and lateral meniscal subluxation were prospectively analysed. Clinical and radiographic results were objectified according to the Rasmussen scores.RESULTS: After a median follow-up of 8.6 (IQR 4.3) months good to excellent clinical and radiographic results were noted. The clinical Rasmussen Score showed a median of 25 (IQR 2.8) and radiographic a median of 17 (IQR 2.0) points.CONCLUSION: Good to excellent clinical and radiological scores were obtained after using an extended lateral approach with lateral femoral epicondyle osteotomy and central meniscus subluxation. No approach specific complications could be observed.

U2 - 10.1007/s00068-020-01467-1

DO - 10.1007/s00068-020-01467-1

M3 - SCORING: Journal article

C2 - 32865596

VL - 46

SP - 1221

EP - 1226

JO - EUR J TRAUMA EMERG S

JF - EUR J TRAUMA EMERG S

SN - 1863-9933

IS - 6

ER -