The anterolateral supra-fibular-head approach for plating posterolateral tibial plateau fractures: A novel surgical technique

Incidence, Risk Factors, and Location of Articular Malreductions of the Tibial Plateau

“…10,14 This realization has led to the development of a novel "3-column" fracture classification of tibial plateau fractures. 11,16,17 We echo these recommendations, however, more work needs to done to define what specific fracture patterns most benefit from posterior-based approaches. 11,16,17 We echo these recommendations, however, more work needs to done to define what specific fracture patterns most benefit from posterior-based approaches.…”

“…Many other strategies also exist, including alternative surgical approaches, 11,12,16,17 arthroscopic assistance, 23,24 use of a distractor, and accessory fluoroscopic views. The concern is related to further soft tissue dissection leading to both an increased risk of devascularizing fracture fragments, and increasing the risk of arthrofibrosis and knee stiffness.…”

Arthroscopic-assisted inflatable bone tamp reduction for treatment of posterolateral tibial plateau fractures

“…Hence, it is certainly not considered as an ideal method. Hu et al [8] introduced an anterolateral supra-fibular-head approach for treating the posterolateral fractures. It provides sufficient horizon and enough operation space, and is beneficial for reduction and allow plate placement to be more posterior.…”

“…The two major surgical techniques currently employed for tibial plateau fractures are open reduction and internal fixation (ORIF) and arthroscopic-assisted reduction and internal fixation (AARIF). Open reduction approach include posterolateral and posteromedial approach, anterolateral approach, fibular neck osteotomy approach, direct posterior approach, extended anterolateral supra-fibular-head approach and so on [5][6][7][8]. The tibial plateau fractures are associated with complex anatomy, and are often covered by the fibular head and ligamentous structures in the corner region.…”

A new anatomic locking plate for the treatment of posterolateral tibial plateau fractures

“…However, the operative treatment of posterolateral tibial plateau fractures remains a challenge due to the fibular head and ligamentous structures that impede adequate exposure of the posterolateral joint surface. Although many approaches have been reported [4, 6–9] to achieve appropriate exposure, there is no general consensus.…”