A Special Fracture in Diagnosis and Treatment: Lateral Tibial Plateau with Peroneal Nerve Entrapment
Keywords:
Tibial plateau, High energy, Fracture, Peroneal nerve entrapmentAbstract
A majority of tibial plateau fractures involve the lateral plateau. Posterolateral tibial plateau fractures are caused by a valgus force
that impacts the posterolateral plateau against the lateral femoral condyle. We describe a unique case of a patient who sustained a
lateral plateau fracture with posterior displacement behind a fractured fibular head, with entrapment of the peroneal nerve. This
unusual fracture pattern required dual anterolateral and lateral approach for reduction and fixation.
References
Jacofsky DJ, Haidukerwych GJ. Tibia plateau fractures. In: Scott WN, ed. Insall and Scott Surgery of the Knee. Philadelphia, PA: Church-ill Livingstone; 2006; 1133-1146.
Stevenson I, McMillan TE, Baliga S, Schemitsch EH. Primary and secondary total knee arthroplasty for tibial plateau fractures. J Am Acad Orthop Surg. 2018; 26(11): 386-395. doi: 10.5435/JAA-OS-D-16-00565
Frosh KH, Balcarek P, Walde T, Sturmer KM. A new poster-olateral approach without fibula osteotomy for the treatment of tibial plateau fractures. J Orthop Trauma. 2010; 24(8): 515-520. doi: 10.1097/BOT.0b013e3181e5e17d
Müller ME, Nazarian S, Koch P, Schatzker J. The Comprehensive Classification of Fractures of Long Bones. New York, NY, USA: Spring-er; 1990: 148-156.
Schatzker J, McBroom R, Bruce D: The tibial plateau fracture: The toronto experience 1968--1975. Clin Orthop Relat Res. 1979; 138: 94-104.
Maripuri SN, Rao P, Manoj-Thomas A, Mohanty K. The classi-fication systems for tibial plateau fractures: How reliable are they? Injury. 2008; 39(10): 216-1221. doi: 10.1016/j.injury.2008.01.023
Honkonen SE. Indications for surgical treatment of tibial con-dyle fractures. Clin Orthop Relat Res. 1994; 302: 199-205.
Zhang W, Luo CF, Putnis S, Sun H, Zeng ZM, Zeng BF. Bio-mechanical analysis of four different fixations for the posterolat-eral shearing tibial plateau fracture. Knee. 2012; 19(2): 94-98. doi: 10.1016/j.knee.2011.02.004
Waldrop JI, Macey TI, Trettin JC, Bourgeois WR, Hughston JC. Fractures of the posterolateral tibial plateau. Am J Sports Med. 1988; 16(5): 492-498. doi: 10.1177/036354658801600511
Luo CF, Sun H, Zhang B, Zeng BF. Three-column fixation for complex tibial plateau fractures. J Orthop Trauma. 2010; 24(11): 683- 692. doi: 10.1097/BOT.0b013e3181d436f3
Hong-wei C, Gang-sheng Z, Wang Z-y, Pan J, Wu L-j, Xu B, et al. Computed tomographic classification of posterior condylar tibial plateau fractures. Natl Med J China. 2011; 91(3): 180-184.
Rossmann M, Fensky F, Ozga AK, Rueger JM, Märdian S, Rus-sow G, et al. Tibial plateau fracture: Does fracture classification influence the choice of surgical approach? A retrospective mul-ticenter analysis. Eur J Trauma Emerg Surg. 2020. doi: 10.1007/ s00068-020-01388-z
Cho JW, Kim J, Cho WT, Kim J-K, Samal P, Gujjar PH, et al. Approaches and fixation of the posterolateral fracture fragment in Submit your article to this journal | https://openventio.org/submit-manuscript/ 20 Diwan A et al tibial plateau fractures: A review with an emphasis on rim plating via modified anterolateral approach. Int Orthop. 2017; 41(9): 1887- 1897. doi: 10.1007/s00264-017-3563-6
Asprinio DE, Issack PS. Lateral tibial plateau fracture with pos-terolateral fragment and fibular head entrapment: A case report. JBJS Case Connector. 2012; 2(4): e55. doi: 10.2106/JBJS.CC.L.00040
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