Variante da via de acesso anterolateral para fraturas do planalto tibial com padrão posterolateral
Abstract
The surgical treatment of tibial plateau fracture aims to obtain
the best stability, alignment, early mobility, and pain elimination to
reduce the risks of osteoarthritis in the future. Therefore, correctly
understanding the fracture is of utmost importance for decisionmaking
about the fracture fixation strategy and the best access
route. Some authors proposed a revision of the original classification
of plateau fracture through tomography and three-dimensional
interpretation, adding an analysis of the axial plane in anterior and
posterior quadrants. In their study, the authors concluded that the
tibial plateau fractures with deviation of the posterolateral corner
of the tibial plateau present joint incongruity and instability mainly
with the knee in flexion, indicating the need for a different approach.
The objective of this case report was to describe a variant approach
to the anterolateral access route for better access to posterolateral
fractures.
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References
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