{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,8]],"date-time":"2026-08-08T19:22:05Z","timestamp":1786216925388,"version":"build-2736575974"},"reference-count":29,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2020,8,31]],"date-time":"2020-08-31T00:00:00Z","timestamp":1598832000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,8,31]],"date-time":"2020-08-31T00:00:00Z","timestamp":1598832000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e4tsklinikum Hamburg-Eppendorf (UKE)"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Trauma Emerg Surg"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>Anatomic reduction in tibial plateau fractures remains to be demanding. For further visualisation of and approach to the joint surface an extended lateral approach using a lateral femoral epicondyle osteotomy and subluxation of the lateral meniscus was recently described. First clinical and radiographic mid-term results of this technique are presented in this feasibility study.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Method<\/jats:title>\n                <jats:p>Ten complex tibial plateau fractures treated with extended lateral approach and lateral meniscal subluxation were prospectively analysed. Clinical and radiographic results were objectified according to the Rasmussen scores.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>After a median follow-up of 8.6 (IQR 4.3) months good to excellent clinical and radiographic results were noted. The clinical Rasmussen Score showed a median of 25 (IQR 2.8) and radiographic a median of 17 (IQR 2.0) points.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Good to excellent clinical and radiological scores were obtained after using an extended lateral approach with lateral femoral epicondyle osteotomy and central meniscus subluxation. No approach specific complications could be observed.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00068-020-01467-1","type":"journal-article","created":{"date-parts":[[2020,8,31]],"date-time":"2020-08-31T11:03:01Z","timestamp":1598871781000},"page":"1221-1226","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Extended approach to the lateral tibial plateau with central meniscal subluxation in fracture repair: feasibility and first clinical and radiographic results"],"prefix":"10.1007","volume":"46","author":[{"given":"Alexander","family":"Korthaus","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tobias Malte","family":"Ballhause","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan-Philipp","family":"Kolb","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Krause","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karl-Heinz","family":"Frosch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4978-2878","authenticated-orcid":false,"given":"Maximilian J.","family":"Hartel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,8,31]]},"reference":[{"issue":"8","key":"1467_CR1","doi-asserted-by":"publisher","first-page":"1608","DOI":"10.1016\/j.injury.2015.05.035","volume":"46","author":"RL van Dreumel","year":"2015","unstructured":"van Dreumel RL, van Wunnik BP, Janssen L, Simons PC, Janzing HM. Mid- to long-term functional outcome after open reduction and internal fixation of tibial plateau fractures. Injury. 2015;46(8):1608\u201312.","journal-title":"Injury"},{"issue":"10","key":"1467_CR2","doi-asserted-by":"publisher","first-page":"673","DOI":"10.1097\/BOT.0b013e31818b1452","volume":"22","author":"S Eggli","year":"2008","unstructured":"Eggli S, Hartel MJ, Kohl S, Haupt U, Exadaktylos AK, R\u00f6der C. Unstable bicondylar tibial plateau fractures: a clinical investigation. J Orthop Trauma. 2008;22(10):673\u20139.","journal-title":"J Orthop Trauma"},{"issue":"4","key":"1467_CR3","doi-asserted-by":"publisher","first-page":"256","DOI":"10.1177\/1457496914520854","volume":"103","author":"M Parkkinen","year":"2014","unstructured":"Parkkinen M, Madanat R, Mustonen A, Koskinen S, Paavola M, Lindahl J. Factors predicting the development of early osteoarthritis following lateral tibial plateau fractures: mid-term clinical and radiographic outcomes of 73 operatively treated patients. Scand J Surg. 2014;103(4):256\u201362.","journal-title":"Scand J Surg"},{"issue":"3","key":"1467_CR4","doi-asserted-by":"publisher","first-page":"146","DOI":"10.1097\/BOT.0000000000000735","volume":"31","author":"B Meulenkamp","year":"2017","unstructured":"Meulenkamp B, Martin R, Desy NM, Duffy P, Korley R, Puloski S, et al. Incidence, risk factors, and location of articular malreductions of the tibial plateau. J Orthop Trauma. 2017;31(3):146\u201350.","journal-title":"J Orthop Trauma"},{"issue":"8","key":"1467_CR5","doi-asserted-by":"publisher","first-page":"437","DOI":"10.1097\/BOT.0000000000000569","volume":"30","author":"M Krause","year":"2016","unstructured":"Krause M, Preiss A, Meenen NM, Madert J, Frosch K-H. \u201cFracturoscopy\u201d is superior to fluoroscopy in the articular reconstruction of complex tibial plateau fractures\u2014an arthroscopy assisted fracture reduction technique. J Orthop Trauma. 2016;30(8):437\u201344.","journal-title":"J Orthop Trauma"},{"issue":"10","key":"1467_CR6","doi-asserted-by":"publisher","first-page":"859","DOI":"10.1007\/s00113-016-0234-9","volume":"119","author":"K Frosch","year":"2016","unstructured":"Frosch K, Krause M, Frings J, Drenck T, Akoto R, M\u00fcller G, et al. Posttraumatic deformities of the knee joint: intra-articular osteotomy after malreduction of tibial head fractures. Der Unfallchirurg. 2016;119(10):859\u201376.","journal-title":"Der Unfallchirurg"},{"issue":"7","key":"1467_CR7","doi-asserted-by":"publisher","first-page":"569","DOI":"10.1007\/s00113-018-0515-6","volume":"121","author":"M Krause","year":"2018","unstructured":"Krause M, M\u00fcller G, Frosch K-H. Chirurgische Zug\u00e4nge bei Tibiakopffrakturen. Der Unfallchirurg. 2018;121(7):569\u201382.","journal-title":"Der Unfallchirurg"},{"issue":"12","key":"1467_CR8","doi-asserted-by":"publisher","first-page":"957","DOI":"10.1007\/s001130050218","volume":"100","author":"P Lobenhoffer","year":"1997","unstructured":"Lobenhoffer P, Gerich T, Bertram T, Lattermann C, Pohlemann T, Tscheme H. Particular posteromedial and posterolateral approaches for the treatment of tibial head fractures. Der Unfallchirurg. 1997;100(12):957\u201367.","journal-title":"Der Unfallchirurg"},{"issue":"8","key":"1467_CR9","doi-asserted-by":"publisher","first-page":"515","DOI":"10.1097\/BOT.0b013e3181e5e17d","volume":"24","author":"K-H Frosch","year":"2010","unstructured":"Frosch K-H, Balcarek P, Walde T, St\u00fcrmer KM. A new posterolateral approach without fibula osteotomy for the treatment of tibial plateau fractures. J Orthop Trauma. 2010;24(8):515\u201320.","journal-title":"J Orthop Trauma"},{"issue":"2","key":"1467_CR10","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1007\/s00064-019-0593-9","volume":"31","author":"M Krause","year":"2019","unstructured":"Krause M, M\u00fcller G, Frosch K. Extended medial and extended lateral approach for tibial plateau fractures. Oper Orthop Trauma. 2019;31(2):127\u201342.","journal-title":"Oper Orthop Trauma"},{"key":"1467_CR11","doi-asserted-by":"publisher","first-page":"1369","DOI":"10.1007\/s00402-019-03200-z","volume":"139","author":"M Krause","year":"2019","unstructured":"Krause M, Kr\u00fcger S, M\u00fcller G, P\u00fcschel K, Frosch K-H. How can the articular surface of the tibial plateau be best exposed? A comparison of specific surgical approaches. Arch Orthop Trauma Surg. 2019;139:1369\u201377.","journal-title":"Arch Orthop Trauma Surg."},{"issue":"2","key":"1467_CR12","doi-asserted-by":"publisher","first-page":"422","DOI":"10.1016\/j.injury.2014.12.006","volume":"46","author":"Y-C Yoon","year":"2015","unstructured":"Yoon Y-C, Sim J-A, Kim D-H, Lee B-K. Combined lateral femoral epicondylar osteotomy and a submeniscal approach for the treatment of a tibial plateau fracture involving the posterolateral quadrant. Injury. 2015;46(2):422\u20136.","journal-title":"Injury"},{"issue":"03","key":"1467_CR13","doi-asserted-by":"publisher","first-page":"204","DOI":"10.1055\/s-0037-1598077","volume":"30","author":"M Kfuri","year":"2017","unstructured":"Kfuri M, Schatzker J, Castiglia MT, Giordano V, Fogagnolo F, Stannard JP. Extended anterolateral approach for complex lateral tibial plateau fractures. J Knee Surg. 2017;30(03):204\u201311.","journal-title":"J Knee Surg"},{"key":"1467_CR14","doi-asserted-by":"publisher","DOI":"10.1055\/s-0040-1709518","author":"D Guttowski","year":"2020","unstructured":"Guttowski D, Krause M, P\u00fcschel K, Kolb JP, Hartel M, Frosch K-H. Improved visualization by central subluxation of the lateral meniscus in comminuted lateral tibial plateau fractures. J Knee Surg. 2020. https:\/\/doi.org\/10.1055\/s-0040-1709518.","journal-title":"J Knee Surg."},{"issue":"8","key":"1467_CR15","doi-asserted-by":"publisher","first-page":"396","DOI":"10.1007\/s00402-003-0573-1","volume":"123","author":"N Walton","year":"2003","unstructured":"Walton N, Harish S, Roberts C, Blundell C. AO or Schatzker? How reliable is classification of tibial plateau fractures? Arch Orthop Trauma Surg. 2003;123(8):396\u20138.","journal-title":"Arch Orthop Trauma Surg"},{"issue":"11","key":"1467_CR16","doi-asserted-by":"publisher","first-page":"2551","DOI":"10.1016\/j.injury.2016.09.014","volume":"47","author":"M Krause","year":"2016","unstructured":"Krause M, Preiss A, M\u00fcller G, Madert J, Fehske K, Neumann MV, et al. Intra-articular tibial plateau fracture characteristics according to the \u201cTen segment classification\u201d. Injury. 2016;47(11):2551\u20137.","journal-title":"Injury"},{"issue":"12","key":"1467_CR17","doi-asserted-by":"publisher","first-page":"1980","DOI":"10.1016\/j.injury.2014.10.004","volume":"45","author":"Y Yao","year":"2014","unstructured":"Yao Y, Lv H, Zan J, Li J, Zhu N, Jing J. Functional outcomes of bicondylar tibial plateau fractures treated with dual buttress plates and risk factors: a case series. Injury. 2014;45(12):1980\u20134.","journal-title":"Injury"},{"issue":"1","key":"1467_CR18","doi-asserted-by":"publisher","first-page":"110","DOI":"10.1186\/s13018-019-1147-4","volume":"14","author":"Z Song","year":"2019","unstructured":"Song Z, Wang Q, Ma T, Wang C, Yang N, Xue H, et al. Failure analysis of primary surgery and therapeutic strategy of revision surgery for complex tibial plateau fractures. J Orthop Surg Res. 2019;14(1):110.","journal-title":"J Orthop Surg Res"},{"issue":"1","key":"1467_CR19","doi-asserted-by":"publisher","first-page":"303","DOI":"10.1186\/s13018-018-1007-7","volume":"13","author":"L Jiang","year":"2018","unstructured":"Jiang L, Zheng Q, Pan Z. Comparison of extended anterolateral approach in treatment of simple\/complex tibial plateau fracture with posterolateral tibial plateau fracture. J Orthop Surg Res. 2018;13(1):303.","journal-title":"J Orthop Surg Res"},{"issue":"5","key":"1467_CR20","doi-asserted-by":"publisher","first-page":"313","DOI":"10.1016\/j.knee.2010.01.002","volume":"17","author":"B Yu","year":"2010","unstructured":"Yu B, Han K, Zhan C, Zhang C, Ma H, Su J. Fibular head osteotomy: a new approach for the treatment of lateral or posterolateral tibial plateau fractures. Knee. 2010;17(5):313\u20138.","journal-title":"Knee"},{"issue":"4","key":"1467_CR21","doi-asserted-by":"publisher","first-page":"1180","DOI":"10.1007\/s00167-015-3604-x","volume":"24","author":"LG Grossterlinden","year":"2016","unstructured":"Grossterlinden LG, Hartel M, Yamamura J, Schoennagel B, Burger N, Krause M, et al. Isolated syndesmotic injuries in acute ankle sprains: diagnostic significance of clinical examination and MRI. Knee Surg Sports Traumatol Arthrosc. 2016;24(4):1180\u20136.","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"8","key":"1467_CR22","doi-asserted-by":"publisher","first-page":"1874","DOI":"10.1016\/j.injury.2020.05.038","volume":"51","author":"M Krause","year":"2020","unstructured":"Krause M, Frings J, Isik H, Frosch KH. Comparison of extended lateral approaches to the tibial plateau: the articular exposure of lateral epicondyle osteotomy with and without popliteus tendon vs. fibula osteotomy. Injury. 2020;51(8):1874.","journal-title":"Injury"},{"issue":"10","key":"1467_CR23","doi-asserted-by":"publisher","first-page":"1878","DOI":"10.1016\/j.injury.2018.07.027","volume":"49","author":"H Hoekstra","year":"2018","unstructured":"Hoekstra H, Vanhees J, van den Berg J, Nijs S. Extended lateral column tibial plateau fractures. How do we do it? Injury. 2018;49(10):1878\u201385.","journal-title":"Injury"},{"issue":"2","key":"1467_CR24","doi-asserted-by":"publisher","first-page":"502","DOI":"10.1016\/j.injury.2015.11.010","volume":"47","author":"S-J Hu","year":"2016","unstructured":"Hu S-J, Chang S-M, Zhang Y-Q, Ma Z, Du S-C, Zhang K. The anterolateral supra-fibular-head approach for plating posterolateral tibial plateau fractures: a novel surgical technique. Injury. 2016;47(2):502\u20137.","journal-title":"Injury"},{"issue":"8","key":"1467_CR25","doi-asserted-by":"publisher","first-page":"e867","DOI":"10.1016\/j.eats.2019.04.001","volume":"8","author":"C Ackermann","year":"2019","unstructured":"Ackermann C, Frings J, Alm L, Frosch K-H. Arthroscopic controlled closed reduction and percutaneous fixation of posterolateral tibia plateau impression fractures. Arthrosc tech. 2019;8(8):e867\u2013e874874.","journal-title":"Arthrosc tech"},{"issue":"1","key":"1467_CR26","doi-asserted-by":"publisher","first-page":"236","DOI":"10.1186\/s13018-019-1286-7","volume":"14","author":"N Beisemann","year":"2019","unstructured":"Beisemann N, Keil H, Swartman B, Schnetzke M, Franke J, Gr\u00fctzner PA, et al. Intraoperative 3D imaging leads to substantial revision rate in management of tibial plateau fractures in 559 cases. J Orthop Surg Res. 2019;14(1):236.","journal-title":"J Orthop Surg Res"},{"issue":"1","key":"1467_CR27","doi-asserted-by":"publisher","first-page":"232","DOI":"10.1097\/TA.0b013e31815ede5d","volume":"66","author":"D Kendoff","year":"2009","unstructured":"Kendoff D, Citak M, Gardner MJ, St\u00fcbig T, Krettek C, H\u00fcfner T. Intraoperative 3D imaging: value and consequences in 248 cases. J Trauma Acute Care Surg. 2009;66(1):232\u20138.","journal-title":"J Trauma Acute Care Surg"},{"issue":"7","key":"1467_CR28","doi-asserted-by":"publisher","first-page":"569","DOI":"10.1007\/s00113-018-0515-6","volume":"121","author":"M Krause","year":"2018","unstructured":"Krause M, M\u00fcller G, Frosch K-H. Surgical approaches to tibial plateau fractures. Der Unfallchirurg. 2018;121(7):569\u201382.","journal-title":"Der Unfallchirurg"},{"issue":"7","key":"1467_CR29","doi-asserted-by":"publisher","first-page":"1671","DOI":"10.1007\/s11999-008-0232-5","volume":"466","author":"AL Bowers","year":"2008","unstructured":"Bowers AL, Huffman GR. Lateral femoral epicondylar osteotomy: an extensile posterolateral knee approach. Clin Orthop Relat Res. 2008;466(7):1671.","journal-title":"Clin Orthop Relat Res"}],"container-title":["European Journal of Trauma and Emergency Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00068-020-01467-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00068-020-01467-1\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00068-020-01467-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,30]],"date-time":"2021-08-30T23:07:28Z","timestamp":1630364848000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00068-020-01467-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8,31]]},"references-count":29,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["1467"],"URL":"https:\/\/doi.org\/10.1007\/s00068-020-01467-1","relation":{},"ISSN":["1863-9933","1863-9941"],"issn-type":[{"value":"1863-9933","type":"print"},{"value":"1863-9941","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,8,31]]},"assertion":[{"value":"27 May 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 August 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"31 August 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"The authors confirm there is no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}