Scholarlink

Background <p>Isolated posterolateral tibial plateau fractures present significant surgical challenges due to complex regional anatomy and limited surgical access.</p> Methods <p>We present a new minimally invasive anteromedial-assisted technique for treating depressed posterolateral tibial plateau fractures. A guided K-wire and bone punch are used to elevate the articular fragment indirectly. After reduction, a pre-bent 2.4 mm T-plate is slid subchondrally to support the reduced segment. Intraoperative arthroscopy is used to confirm anatomic reduction.</p> Results <p>Intraoperative arthroscopy and postoperative CT scans confirmed anatomic reduction and stable implant placement. The patient regained full, pain-free knee motion by the 12-week follow-up.</p> Conclusion <p>This technique effectively restores joint congruence by combining internal subchondral support with arthroscopic confirmation. It offers a practical approach that avoids the need for extensive soft-tissue dissection typically associated with posterior approaches.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Minimally Invasive Anteromedial-assisted Reduction and Subchondral Rafting Fixation for an Isolated Posterolateral Tibial Plateau Fracture: A Novel Technique

  • 期刊论文

  • 发表日期：

    2025年11月29日

查看全文
  • Reuben Cedric Nappoly,
  • Pavan Kumar Reddy,
  • Paulson Varghese,
  • Blessing Samuel VR,
  • Srikrishna Gurunatha Chetty,
  • Viju Daniel Varghese

摘要

Background

Isolated posterolateral tibial plateau fractures present significant surgical challenges due to complex regional anatomy and limited surgical access.

Methods

We present a new minimally invasive anteromedial-assisted technique for treating depressed posterolateral tibial plateau fractures. A guided K-wire and bone punch are used to elevate the articular fragment indirectly. After reduction, a pre-bent 2.4 mm T-plate is slid subchondrally to support the reduced segment. Intraoperative arthroscopy is used to confirm anatomic reduction.

Results

Intraoperative arthroscopy and postoperative CT scans confirmed anatomic reduction and stable implant placement. The patient regained full, pain-free knee motion by the 12-week follow-up.

Conclusion

This technique effectively restores joint congruence by combining internal subchondral support with arthroscopic confirmation. It offers a practical approach that avoids the need for extensive soft-tissue dissection typically associated with posterior approaches.