{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T14:49:57Z","timestamp":1747406997175},"reference-count":9,"publisher":"Universa BV","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Orthop Belg"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:p>Tibial plateau fractures with posterior comminution are difficult to reduce and stabilise. Standard lateral approach doesn\u2019t offer adequate visualisation. Posterior approach is suitable for isolated posterior fractures. The addition of a specifically contoured rim plate can enable fixation of posterior fragments through a modified lateral approach.The purpose of this study was to evaluate the advantages and limitations of this novel technique. We present a prospective series of 16 tibial plateau fractures with posterolateral depression, operated over a period of 7 years (04.2014-09.2021). The mean age of the patients was 52 years .They were followed for an average period of one year.Clinical and functional assessment was performed according to the criteria of Knee Society Clinical Rating Score. The lateral and posterior component of the fracture was stabilised by a horizontal rim plate, through a posterolateral approach, with or without fibular osteotomy. 9 patients had excellent, 5 had good, 2 had average ratings. The average objective rating was 87,5 (70- 97), and the average functional rating was - 74,4 (40-100). The average ROM was 110\u00b0 (100\u00b0-120\u00b0). Two of the fractures healed in 5\u00b0 varus and 8\u00b0 valgus respectively. One knee joint ended up with 10\u00b0 flexion deficit. Three knees had medio- lateral instability, with no functional impairment. In 4 cases the K wires of the weber fibular osteotomy fixation migrated. The absence of late articular collapse of the treated fractures may be attributed to the initial stability of fixation.The addition of a rim plate addresses the posterior comminution and makes early rehabilitation safe.<\/jats:p>","DOI":"10.52628\/89.2.10533","type":"journal-article","created":{"date-parts":[[2023,9,12]],"date-time":"2023-09-12T13:21:18Z","timestamp":1694524878000},"page":"275-279","source":"Crossref","is-referenced-by-count":2,"title":["Lateral tibial plateau fractures with posterior comminution. Can a rim plate offer sufficient support?"],"prefix":"10.52628","volume":"89","author":[{"given":"Yordan","family":"ANDONOV","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"27062","published-online":{"date-parts":[[2023,8]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Krause M, Preiss A, M\u00fcller G, Madert J, Fehske K, Neumann MV, Domnick C, Raschke M, S\u00fcdkamp N, Frosch KH. Intra-articular tibial plateau fracture characteristics according to the \u201cTen segment classification\u201d. Injury. 2016 Nov;47(11):2551-2557. doi: 10.1016\/j.injury.2016.09.014. Epub 2016 Sep 6. PMID: 27616003.","DOI":"10.1016\/j.injury.2016.09.014"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Solomon LB, Stevenson AW, Lee YC, Baird RP, Howie DW. Posterolateral and anterolateral approaches to unicondylar posterolateral tibial plateau fractures: a comparative study. Injury.    2013 Nov;44(11):1561-8. doi: 10.1016\/j.injury.2013.04.024. Epub 2013 Jun 15. PMID: 23777749.","DOI":"10.1016\/j.injury.2013.04.024"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Frosch KH, 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 Aug;24(8):515-20. doi: 10.1097\/BOT.0b013e3181e5e17d. PMID: 20657262.","DOI":"10.1097\/bot.0b013e3181e5e17d"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Berm\u00fadez CA, Ziran BH, Barrette-Grischow MK. Use of horizontal rafting plates for posterior elements of complex tibial plateau fractures: description and case reports. J Trauma. 2008 Nov;65(5):1162-7. doi: 10.1097\/01.ta.0000222943.45563.b5. PMID: 18349711.","DOI":"10.1097\/01.ta.0000222943.45563.b5"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Heidari N, Lidder S, Grechenig W, Tesch NP, Weinberg AM. The risk of injury to the anterior tibial artery in the posterolateral approach to the tibia plateau: a cadaver study. J Orthop Trauma. 2013 Apr;27(4):221-5. doi: 10.1097\/BOT.0b013e318271f8f0. PMID: 22986314.","DOI":"10.1097\/bot.0b013e318271f8f0"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Cho JW, Kim J, Cho WT, Kim JK, Samal P, Gujjar PH, Kent WT, Oh JK. Approaches and fixation of the posterolateral fracture fragment in tibial plateau fractures: a review with an emphasis on rim plating via modified anterolateral approach. Int Orthop. 2017 Sep;41(9):1887-1897. doi: 10.1007\/s00264-017-3563-6. Epub 2017 Jul 22. PMID: 28735430.","DOI":"10.1007\/s00264-017-3563-6"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Cho JW, Samal P, Jeon YS, Oh CW, Oh JK. Rim Plating of Posterolateral Fracture Fragments (PLFs) Through a Modified Anterolateral Approach in Tibial Plateau Fractures. J Orthop Trauma. 2016 Nov;30(11):e362-e368. doi: 10.1097\/BOT.0000000000000638. PMID: 27243348.","DOI":"10.1097\/bot.0000000000000638"},{"key":"ref7","doi-asserted-by":"publisher","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 Oct;17(5):313-8. doi: 10.1016\/j.knee.2010.01.002. Epub 2010 Feb 18. PMID: 20163966.","DOI":"10.1016\/j.knee.2010.01.002"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Johnson EE, Timon S, Osuji C. Surgical technique: Tscherne-Johnson extensile approach for tibial plateau fractures. Clin Orthop Relat Res. 2013 Sep;471(9):2760-7. doi: 10.1007\/s11999-013-2962-2. PMID: 23670670; PMCID: PMC3734402.","DOI":"10.1007\/s11999-013-2962-2"}],"container-title":["Acta Orthopaedica Belgica"],"original-title":[],"deposited":{"date-parts":[[2023,9,12]],"date-time":"2023-09-12T13:21:33Z","timestamp":1694524893000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.actaorthopaedica.be\/archive\/volume-89\/issue-2\/original-studies\/lateral-tibial-plateau-fractures-with-posterior-comminution-can-a-rim-plate-offer-sufficient-support\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6]]},"references-count":9,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2023,8]]},"published-print":{"date-parts":[[2023,6,30]]}},"URL":"https:\/\/doi.org\/10.52628\/89.2.10533","relation":{},"ISSN":["0001-6462"],"issn-type":[{"value":"0001-6462","type":"print"}],"subject":[],"published":{"date-parts":[[2023,6]]}}}