Application of modified Frosch approach for Schatzker type Ⅱ tibial plateau fractures with posterolateral column
10.12200/j.issn.1003-0034.20220618
- VernacularTitle:改良Frosch入路在累及后外侧柱的Schatzker Ⅱ型骨折中的应用
- Author:
Shao-Wei YANG
1
;
Yu-Tang ZHENG
;
Xin-Ru XU
Author Information
1. 漳州市第三医院骨二科,福建 漳州 363000
- Keywords:
Tibial plateau fracture;
Posterolateral;
Modified Frosch approach
- From:
China Journal of Orthopaedics and Traumatology
2024;37(6):616-621
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore clnical efficacy of modified Frosch approach for Schatzker type Ⅱ tibial plateau fracture with posterolateral column.Methods From January 2019 to September 2020,totally 11 patients with Schatzker type Ⅱ tibial plateau fractures with posterolateral column were treated,including 7 males and 4 females,aged from 21 to 49 years old.Modi-fied Frosch approach was adopted for lateral decubitus position,and posterolateral fractures were fixed with support plates or posterolateral screws.Anterolateral fixation with conventional tibial plateau lateral locking plate.Tibial plateau varus angle and posterior inclination angle were measured by X-ray immediately and 12 months after operation,as well as knee motion at 12 months after operation.Knee function at 12 months after operation was evaluated by knee score of Hospital for Special Surgery(HSS).Results Eleven patients were followed up for 12 to 15 months.Varus angle and inclination angle at immediately after operation ranged from 76° to 86° and 6° to 10°,respectively,and 79° to 88° and 6° to 10°,respectively at 12 months after op-eration.The range of extension of knee ranged from 0° to 5°,and flexion was 106° to 137° at 12 months after operation.Post-operative HSS knee score at 12 months ranged from 74 to 94 scores,8 patients were excellent and 3 good.Conclusion Modi-fied Frosch approach is an effective surgical method for Schatzker type Ⅱ tibial plateau fracture with posterolateral column.A single incision is used to complete fracture exposure and fixation at two sites,avoiding use of combined incisions,and could ob-tain good postoperative knee joint function.During operation,popliteal fossa structure should be familiar,and the common per-oneal nerve should be protected to avoid injury.
