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. 2023 Jan 1;37(1):e45-e50.
doi: 10.1097/BOT.0000000000002420.

Supine Posterior Hoop Plating of Bicondylar Posterior Coronal Shear Tibial Plateau Fractures Without Fibular Osteotomy

Julia K Foos  1 , Erlena Josifi  2 , Thomas M Large  3
Affiliations

Supine Posterior Hoop Plating of Bicondylar Posterior Coronal Shear Tibial Plateau Fractures Without Fibular Osteotomy

Julia K Foos et al. J Orthop Trauma. .

Abstract

Tibial plateau posterolateral fragments, especially those associated with articular depression, are difficult to capture and support with anteriorly or lateral based implants. Applying implants to the posterior plateau has traditionally involved a prone approach or fibular osteotomy, especially when access to both the medial and lateral sides is necessary, such as a bicondylar posterior coronal shear fracture pattern. By combining two previously described techniques for posterolateral rim plating and bicondylar hoop plating, we describe a novel technique to apply a posterior bicondylar hoop implant in the supine position without fibular osteotomy for bicondylar posterior coronal shear injuries.

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Conflict of interest statement

T.M. Large is a stockholder of the Orthopaedic Implant Company. The remaining authors report no conflict of interest.

References

    1. Markhardt BK, Gross JM, Monu JU. Schatzker classification of tibial plateau fractures: use of CT and MR imaging improves assessment. Radiographics. 2009;29:585–597.
    1. Bryson WN, Fischer EJ, Jennings JW, et al. Three-column classification system for tibial plateau fractures: what the orthopedic surgeon wants to know. Radiographics. 2021;41:144–155.
    1. Luo CF, Sun H, Zhang B, et al. Three-column fixation for complex tibial plateau fractures. J Orthop Trauma. 2010;24:683–692.
    1. Giordano V, Schatzker J, Kfuri M. The “Hoop” plate for posterior bicondylar shear tibial plateau fractures: description of a new surgical technique. J Knee Surg. 2017;30:509–513.
    1. Cho JW, Kim J, Cho WT, et al. Approaches and fixation of the posterolateral fracture fragment in tibial plateau fractures: a review with an emphasis on rim plating via modified anterolateral approach. Int Orthop. 2017;41:1887–1897.