The Application of Posterior Plate in Tibial Plateau Fracture: A Case Report
Downloads
Backgrounds: Tibial plateau fracture is the most frequent type of fracture caused by motor-vehicle collision. This injury may or may not be associated with soft tissue injury, such as the knee's ligaments. Posterior tibial plateau fractures are a rare subtype that requires surgical intervention. This case report describes the outcome of posterior plating in treating a posterior tibial plateau fracture.
Case report: A 41-year-old female patient came to the emergency room (ER) after being involved in a traffic collision. The patient underwent a thorough medical examination, which revealed the tibial eminence avulsion associated with the fracture of the head of the fibula. Surgical treatment was performed using a posterior approach through an inverted L-shaped incision.
Discussion: Tibial plateau fractures are serious injuries that often require surgery. However, the decision to operate depends on several factors, including the morphology of the fracture, the patient's profile, the condition of the soft tissues, and the expected recovery of the articular surface and the axis of the limb.
Conclusion: A surgical technique using a posterior approach through an inverted L-shaped incision with a small medial T-plate, lateral bone graft, and roof K-wire fixation demonstrates positive outcomes for treating closed posterior tibial plateau fractures and avulsion fractures of the tibial eminence.
Solomon L, Warwick D NS. Apley and Solomon's Concise System of Orthopaedics and Trauma. 10th ed. CRC Press; 2014.
Van den Berg J, De Boer AS, Assink N, et al. Trauma mechanism and patient reported outcome in tibial plateau fractures with posterior involvement. Knee. 2021;30:41-50. doi:10.1016/j.knee.2021.03.011
Satria Nur Sya'ban, Widati Fatmaningrum SB. THE PROFILE OF FRACTURE IN PATIENTS UNDER 17 YEARS OF AGE AT RSUD DR SOETOMO IN THE PERIOD OF 2013-2014. Journal of Orthopaedi & Traumatology Surabaya. 2017;6(1):21-32.
Touloupakis G, Ghirardelli S, Biancardi E, Bibiano L, Antonini G, Crippa C. A remarkable pattern of a tibial plateau fracture. Use of a safe technique with practical advantages in the surgical field. Acta Biomedica. 2019;90(2):343-347. doi:10.23750/abm.v90i2.6661
Cai P, Yuan M, Ji H, et al. The treatment of posterolateral tibial plateau fracture with a newly designed anatomical plate via the trans-supra-fibular head approach: preliminary outcomes. BMC Musculoskelet Disord. 2021;22(1):1-10. doi:10.1186/s12891-021-04684-w
McGonagle L, Cordier T, Link BC, Rickman MS, Solomon LB. Tibia plateau fracture mapping and its influence on fracture fixation. Journal of Orthopaedics and Traumatology. 2019;20(1):1-6. doi:10.1186/s10195-019-0519-1
Söylemez MS, Cepni SK, Kemah B, Batar S. Posteromedial plate application using medial midline incision for complex tibia plateau fractures: a retrospective study. BMC Musculoskelet Disord. 2022;23(1):1-8. doi:10.1186/s12891-022-05087-1
Boby Harul Priono, Ghuna Arioharjo Utoyo YDI. RELATIONSHIP OF ACL INJURY WITH POSTERIOR TIBIAL SLOPE, INTERCONDYLAR NOTCH WIDTH RATIO, AGE, AND SEX. Journal Orthopaedi and Traumatology Surabaya. 2018;7(2):106-113.
Budhiparama NC, Hidayat H, Novito K, Utomo DN, Lumban-Gaol I, Nelissen RGHH. Does Circumferential Patellar Denervation Result in Decreased Knee Pain and Improved Patient-reported Outcomes in Patients Undergoing Nonresurfaced, Simultaneous Bilateral TKA? Clin Orthop Relat Res. 2020;478(9):2020-2033. doi:10.1097/CORR.0000000000001035
Budhiparama NC, Lumban-Gaol I, Ifran NN, de Groot PCJ, Utomo DN, Nelissen RGHH. Mismatched knee implants in Indonesian and Dutch patients: a need for increasing the size. Knee Surgery, Sports Traumatology, Arthroscopy. 2021;29(2):358-369. doi:10.1007/s00167-020-05914-9
Galla M, Lobenhoffer P. Der direkte dorsale Zugangsweg zur Versorgung posteromedialer Luxationsfrakturen des Tibiakopfes. Unfallchirurg. 2003;106(3):241-247. doi:10.1007/s00113-002-0554-9
Luo CF, Sun H, Zhang B, Zeng BF. Three-Column Fixation for Complex Tibial Plateau Fractures. J Orthop Trauma. 2010;24(11):683-692. doi:10.1097/BOT.0b013e3181d436f3
Sassoon AA, Torchia ME, Cross WW, Cass JR, Sems SA. Fibular Shaft Allograft Support of Posterior Joint Depression in Tibial Plateau Fractures. J Orthop Trauma. 2014;28(7):e169-e175. doi:10.1097/BOT.0000000000000020
Tao J, Hang D hua, Wang Q gen, et al. The posterolateral shearing tibial plateau fracture: Knee. 2008;15(6):473-479. doi:10.1016/j.knee.2008.07.004
Zhang W, Luo CF, Putnis S, Sun H, Zeng ZM, Zeng BF. Biomechanical analysis of four different fixations for the posterolateral shearing tibial plateau fracture. Knee. 2012;19(2):94-98. doi:10.1016/j.knee.2011.02.004
Copyright (c) 2024 Journal Orthopaedi and Traumatology Surabaya
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
- The author acknowledges that the copyright of the article is transferred to the Journal of Orthopaedi and Traumatology Surabaya (JOINTS), whilst the author retains the moral right to the publication.
- The legal formal aspect of journal publication accessibility refers to Creative Commons Attribution-Non Commercial-Share Alike 4.0 International License (CC BY-NC-SA).
- All published manuscripts, whether in print or electronic form, are open access for educational, research, library purposes, and non-commercial uses. In addition to the aims mentioned above, the editorial board is not liable for any potential violations of copyright laws.
- The form to submit the manuscript's authenticity and copyright statement can be downloaded here.
Journal of Orthopaedi and Traumatology Surabaya (JOINTS) is licensed under a Creative Commons Attribution-Non Commercial-Share Alike 4.0 International License.
Journal Orthopaedi and Traumatology Surabaya (JOINTS) (