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. 2015 Apr 15;8(4):5640-8.
eCollection 2015.

Recent progress in the diagnosis and treatment of posterior tibial plateau fractures

Hongwei Chen  1 , Shimin Chang  2 , Jun Pan  3
Affiliations

Recent progress in the diagnosis and treatment of posterior tibial plateau fractures

Hongwei Chen et al. Int J Clin Exp Med. .

Abstract

The posterior tibial plateau fracture is drawing increasing attention from orthopedists in recent years with the popularity of CT. However, due to the particular and severity of posterior tibial plateau fracture, there is still controversy in its classification and treatment. It is very difficult to achieve the ideal reduction and fixation by conventional techniques and approaches. The modified posterior approach is favorable for posterior tibial plateau fracture, but disadvantages remain. Recently, the lateral approach is applied by doctors. It is ideal for treatment of posterior tibial plateau fracture. Because of the complexity of local anatomical structure, the operative management of posterior tibial plateau fractures is a contentious issue as revealed in the recent surge of published literature addressing the surgical approach. This review mainly summaries the diagnosis, classification and surgery of the posterior tibial plateau fractures.

Keywords: Tibial plateau; diagnosis; fracture; operative approach.

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Figures

Figure 1
Figure 1
Posterior-medial approach in treating posterior tibial plateau fractures. A. Lateral X-ray film before the surgery showed the posterior tibial plateau fracture. B. CT image before the surgery showed posterior-medial split and posterior-lateral depression of tibial plateau. C, D. Anteroposterior and lateral X-ray films after the surgery showed satisfactory reduction. E-G. CT reconstruction images after the surgery showed satisfactory reduction.
Figure 2
Figure 2
Posterior-lateral approach in treating posterior-lateral tibial plateau fractures. A. Lateral X-ray film before the surgery showed the posterior tibial plateau fracture. B. CT image before the surgery showed posterior-lateral depression of tibial plateau. C, D. Anteroposterior and lateral X-ray films after the surgery showed satisfactory reduction. E, F. CT reconstruction images after the surgery showed satisfactory reduction.
Figure 3
Figure 3
Expanded anterior-lateral approach in treating posterior-lateral tibial plateau fractures. A-C. CT images before the surgery showed posterior-lateral split of tibial plateau. D, E. Anteroposterior and lateral X-ray films after the surgery showed satisfactory reduction. E, F. CT reconstruction images after the surgery showed satisfactory reduction.
See this image and copyright information in PMC

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