Melo-Realpe J, Hernández-Caicedo A, Villa-Bandera J, Gil-Noriega G, Orlando-Clavijo E, Suárez-Mejía L, Hernández-Díaz T

Language: English
References: 13
Page: 195-200
PDF size: 3069.80 Kb.

ABSTRACT

Introduction: anatomical reduction and stable fixation are crucial in the treatment of articular fractures to prevent post-traumatic osteoarthritis and joint dysfunction. However, surgical exposure of the lateral tibial plateau remains a challenge, especially in the posterolateral column. New approaches are needed to provide adequate visualization of the articular surface. This study aims to anatomically describe a posterolateral double-window approach (anterior and posterior to the biceps femoris) in cadaveric specimens, optimizing surgical exposure without the need for osteotomies. Material and methods: dissections were performed on two knee specimens, employing a posterolateral double-window approach (anterior and posterior to the biceps femoris). The exposed tibial surface was measured using a uniplanar ruler, and the percentages of lateral tibial plateau visualization were calculated. Results: in the left knee, the exposure of the anterolateral quadrant was 82%, and in the posterolateral quadrant was 66%. In the right knee, 70 and 66% were obtained, respectively. The anterolateral window provided greater exposure compared to the posterolateral one. Conclusion: this technique represents a viable surgical option to optimize tibial exposure without osteotomies. Clinical studies are needed to validate its impact on functional recovery in patients.

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EVIDENCE LEVEL

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