Treatment of Complex Tibial Plateau Fractures: A Modified Patient Positioning for the Combined Anterior and Posterior Approaches.
10.12671/jkfs.2006.19.3.396
- Author:
Jong Keon OH
1
;
Chang Wug OH
;
Seung Beom HAHN
;
Kwon Jae ROH
;
Kwan Hee LEE
Author Information
1. Department of Orthopedic Surgery, Dongdaemun Hospital, Ewha Womans University College of Medicine, Seoul, Korea. jongkeon@ewha.ac.kr
- Publication Type:Original Article
- Keywords:
Tibial plateau;
Complex fractures;
Combined anterior and posterior approaches;
Patient's positioning
- MeSH:
Buttocks;
Hip;
Humans;
Leg;
Operating Tables;
Patient Positioning*;
Supine Position
- From:Journal of the Korean Fracture Society
2006;19(3):396-400
- CountryRepublic of Korea
- Language:Korean
-
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.
