Posterolateral And Posteromedial Approach To The Tibial Plateau Posterolateral Fracture
Score and Comment on this Case
Clinical Details
Clinical and radiological findings: Split-Depression Posterolateral
Preoperative Plan
Planning remarks:
Surgical Discussion
Patient positioning: Supine
Anatomical surgical approach: Posterolateral - Posteromedial
Operative remarks:Through the posteromedial approach, pes anserinus tendons were detached from their insertion, and posterior buttress plating was performed in the 'figure 4' position of the knee .
Through the posterolateral incision, depressed fragment was elevated and void filled with allograft.
Finally, lateral to medial and anterolateral-to-posteromedial rafting screws were applied.
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User Discussion (1)
Dr Ed Oates
Excellent result. Shows you can go a long way laterally from a Lobenhoffer. Personally not had to release Pes before though. Huge depression. How did it hold up at follow-up?
Was it an error, may be popliteus and not pes
This patient was operated on three weeks ago. Everything seems to be going well for now. There are no signsdepression or any other complications at the moment. And yes It is PES. Initially, I attempted to preserve it. However, due to its narrowing the area I released it. .
How to approach posterolateral in supine position