J Korean Fract Soc.  2006 Jul;19(3):396-400. 10.12671/jkfs.2006.19.3.396.

Treatment of Complex Tibial Plateau Fractures: A Modified Patient Positioning for the Combined Anterior and Posterior Approaches

Affiliations
  • 1Department of Orthopedic Surgery, Dongdaemun Hospital, Ewha Womans University College of Medicine, Seoul, Korea. jongkeon@ewha.ac.kr
  • 2Department of Orthopedic Surgery, Kyungpook National University Hospital, Daegu, Korea.
  • 3Department of Orthopedic Surgery, Korea University Anam Hospital, Seoul, Korea.

Abstract

We have treated thirteen complex plateau fractures involving both condyles with one of the following conditions with the use of the combined anterior and posterior approaches in a modified supine position. Associated PCL avulsion fracture, displacement of major fracture plane dominantly at the back, large coronal fracture fragment involving medial or lateral condyles. A patient is placed on an operation table in supine position with a bump under the contralateral buttock. The well leg is placed in a lithotomy position and the injured leg is placed over a sterilized Mayo stand separately. For the posterior approach the table was tilt toward the injured side with the hip abducted and rotated externally. With a modified patient's positioning we were able to use combined anterior and posterior approaches simultaneously for the management of certain complex plateau fractures without changing the draping.

Keyword

Tibial plateau; Complex fractures; Combined anterior and posterior approaches; Patient's positioning

MeSH Terms

Buttocks
Hip
Humans
Leg
Operating Tables
Patient Positioning*
Supine Position

Cited by  1 articles

Current Concepts in Management of Tibia Plateau Fracture
Sang Hak Lee, Kang-Il Kim
J Korean Fract Soc. 2014;27(3):245-260.    doi: 10.12671/jkfs.2014.27.3.245.

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