{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T08:55:42Z","timestamp":1792659342720,"version":"4.5.0"},"reference-count":16,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[1988,9,1]],"date-time":"1988-09-01T00:00:00Z","timestamp":589075200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[1988,9]]},"abstract":"<jats:p>We reviewed the clinical records and operative notes of 28 patients with fractures of the posterolateral tibial plateau seen at our institution from 1949 to 1982. Five of the 28 patients had chronic depressions of the posterolateral tibial plateau after initial treatment else where. All five were disabled because of significant functional instability when the knee was in flexion. There were 23 acute fractures, of which 4 were initially nondisplaced and treated nonoperatively. One nonop erative patient was lost to followup; the remaining three were rated as having had good or excellent results. Nineteen patients had acute depressed fractures and were treated operatively with open reduction, elevation of the depressed area, and bone grafting, with or without internal fixation. All patients treated operatively at the time of injury were seen for followup from 24 to 145 months postoperatively, with a mean followup of 59 months. One patient was lost to followup; the other 18 were rated using both objective and subjective criteria. Seventeen (94%) achieved a final rating of excellent or good; one patient (6%) achieved a rating of fair.<\/jats:p>\n                  <jats:p>We have observed these fractures occurring in a younger population and producing significant disability in activities requiring a stable knee in flexion. The depressed posterolateral tibial plateau fracture is best assessed by AP, lateral, and 45\u00b0 internal oblique views on radiographic examination. Because of continued disability caused by chronic, depressed fractures of this type, we recommend open reduction and bone grafting in acute cases to eliminate instability in flexion. This procedure produces good or excellent results in most cases.<\/jats:p>","DOI":"10.1177\/036354658801600511","type":"journal-article","created":{"date-parts":[[2007,6,21]],"date-time":"2007-06-21T20:46:52Z","timestamp":1182458812000},"page":"492-498","source":"Crossref","is-referenced-by-count":47,"title":["Fractures of the posterolateral tibial plateau"],"prefix":"10.1177","volume":"16","author":[{"given":"John I.","family":"Waldrop","sequence":"first","affiliation":[{"name":"Hughston Orthopaedic Clinic, PC, Columbus, Georgia, and the Tulane University School of Medicine, Department of Orthopaedics, Sports Medicine Section, New Orleans, Louisiana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theodore I.","family":"Macey","sequence":"additional","affiliation":[{"name":"Hughston Orthopaedic Clinic, PC, Columbus, Georgia, and the Tulane University School of Medicine, Department of Orthopaedics, Sports Medicine Section, New Orleans, Louisiana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John C.","family":"Trettin","sequence":"additional","affiliation":[{"name":"Hughston Orthopaedic Clinic, PC, Columbus, Georgia, and the Tulane University School of Medicine, Department of Orthopaedics, Sports Medicine Section, New Orleans, Louisiana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Warren R.","family":"Bourgeois","sequence":"additional","affiliation":[{"name":"Hughston Orthopaedic Clinic, PC, Columbus, Georgia, and the Tulane University School of Medicine, Department of Orthopaedics, Sports Medicine Section, New Orleans, Louisiana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jack C.","family":"Hughston","sequence":"additional","affiliation":[{"name":"Hughston Orthopaedic Clinic, PC, Columbus, Georgia, and the Tulane University School of Medicine, Department of Orthopaedics, Sports Medicine Section, New Orleans, Louisiana"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[1988,9,1]]},"reference":[{"key":"atypb1","doi-asserted-by":"crossref","unstructured":"Apley AG: Fractures of the lateral tibial condyle treated by skeletal traction and early mobilisation. J Bone Joint Surg 38B: 699-708, 1956","DOI":"10.1302\/0301-620X.38B3.699"},{"key":"atypb2","unstructured":"Cave EF: Fractures of the tibial condyles involving the knee joint. Surg Gynecol Obstet 86: 289-294, 1948"},{"key":"atypb3","doi-asserted-by":"crossref","unstructured":"Drennan DB, Locher FG, Maylahn DJ: Fractures of the tibial plateau. Treatment by closed reduction and spica cast . J Bone Joint Surg 61A: 989-995, 1979","DOI":"10.2106\/00004623-197961070-00004"},{"key":"atypb4","unstructured":"Fryjordet A. : Operative treatment of tibial condyle fractures . Acta Chir Scand 133: 17-24, 1967"},{"key":"atypb5","doi-asserted-by":"crossref","unstructured":"Gossling HR, Peterson CA: A new surgical approach in the treatment of depressed lateral condylar fractures of the tibia. Clin Orthop 140: 96-102, 1979","DOI":"10.1097\/00003086-197905000-00020"},{"key":"atypb6","doi-asserted-by":"crossref","unstructured":"Hohl M., Luck JV: Fractures of the tibial condyles. A clinical and expenmental study . J Bone Joint Surg 38A: 1001-1018, 1956","DOI":"10.2106\/00004623-195638050-00005"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196850080-00002"},{"key":"atypb8","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-194504000-00005"},{"key":"atypb9","doi-asserted-by":"crossref","unstructured":"Palmer I. : Fractures of the upper end of the tibia. J Bone Joint Surg 33B: 160-166, 1951","DOI":"10.1302\/0301-620X.33B2.160"},{"key":"atypb10","doi-asserted-by":"crossref","unstructured":"Perry CR, Evans LG, Rice S., et al: A new surgical approach to fractures of the lateral tibial plateau . J Bone Joint Surg 66A: 1236-1240, 1984","DOI":"10.2106\/00004623-198466080-00011"},{"key":"atypb11","doi-asserted-by":"crossref","unstructured":"Rasmussen PS : Tibial condylar fractures. Impairment of knee stability as an indication for surgical treatment. J Bone Joint Surg 55A: 1331-1350, 1973","DOI":"10.2106\/00004623-197355070-00001"},{"key":"atypb12","doi-asserted-by":"crossref","unstructured":"Roberts JM: Fractures of the condyles of the tibia. An anatomical and clinical end-result study of one hundred cases. J Bone Joint Surg 50A: 1505-1521, 1968","DOI":"10.2106\/00004623-196850080-00001"},{"key":"atypb13","doi-asserted-by":"crossref","unstructured":"Rombold C.: Depressed fractures of the tibial plateau. Treatment with rigid internal fixation and early mobilization. A preliminary report. J Bone Joint Surg 42A: 783-797, 1960","DOI":"10.2106\/00004623-196042050-00005"},{"key":"atypb14","doi-asserted-by":"crossref","unstructured":"Sarmiento A. , Kinman PB, Latta LL: Fractures of the proximal tibia and tibial condyles. Clin Orthop 145: 136-145, 1979","DOI":"10.1097\/00003086-197911000-00017"},{"key":"atypb15","unstructured":"Schatzker J. , McBroom R., Bruce D.: The tibial plateau fracture. Clin Orthop 138: 94-104, 1979"},{"key":"atypb16","doi-asserted-by":"crossref","unstructured":"Slee GC: Fractures of the tibial condyles. J Bone Joint Surg 37B: 427-437, 1955","DOI":"10.1302\/0301-620X.37B3.427"}],"container-title":["The American Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/036354658801600511","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/036354658801600511","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:39:04Z","timestamp":1777369144000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/036354658801600511"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1988,9]]},"references-count":16,"journal-issue":{"issue":"5","published-print":{"date-parts":[[1988,9]]}},"alternative-id":["10.1177\/036354658801600511"],"URL":"https:\/\/doi.org\/10.1177\/036354658801600511","relation":{},"ISSN":["0363-5465","1552-3365"],"issn-type":[{"value":"0363-5465","type":"print"},{"value":"1552-3365","type":"electronic"}],"subject":[],"published":{"date-parts":[[1988,9]]}}}