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. 2020 Jun;34(6):e221-e224.
doi: 10.1097/BOT.0000000000001716.

The "FCR" Approach to the Knee for the Management of Posterior Tibial Plateau Fractures

James T Berwin  1 , Richard L Donovan, Andrew Riddick, Michael B Kelly
Affiliations

The "FCR" Approach to the Knee for the Management of Posterior Tibial Plateau Fractures

James T Berwin et al. J Orthop Trauma. 2020 Jun.

Abstract

Three-column fixation of tibial plateau fractures is now an established philosophy. A direct posterior approach with the patient prone affords enhanced exposure of the posterior column and ease of access for fixation using a buttress plate and posterior-to-anterior screws. A "direct posterior" approach through a reverse L-shaped incision to back of the knee is popular, yet complications associated with raising a fascial flap can occur. We present a simple method of conceptualizing a direct posterior approach through a single longitudinal incision, by likening it to a commonly performed orthopedic approach, the flexor carpi radialis approach to the wrist.

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References

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