Journal of Musculoskeletal Trauma

Original Article

Treatment of Complex Tibial Plateau Fractures: A Modified Patient Positioning for the Combined Anterior and Posterior Approaches: Jong Keon Oh, Chang Wug Oh, Seung Beom Hahn, Kwon Jae Roh, Kwan Hee Lee; J Korean Fract Soc 2006;19(3):396-400. Published online July 31, 2006; DOI: https://doi.org/10.12671/jkfs.2006.19.3.396

We have treated thirteen complex plateau fractures involving both condyles with one of the following conditions with the use of the combined anterior and posterior approaches in a modified supine position. Associated PCL avulsion fracture, displacement of major fracture plane dominantly at the back, large coronal fracture fragment involving medial or lateral condyles. A patient is placed on an operation table in supine position with a bump under the contralateral buttock. The well leg is placed in a lithotomy position and the injured leg is placed over a sterilized Mayo stand separately. For the posterior approach the table was tilt toward the injured side with the hip abducted and rotated externally. With a modified patient's positioning we were able to use combined anterior and posterior approaches simultaneously for the management of certain complex plateau fractures without changing the draping.

Citations

Citations to this article as recorded by

Current Concepts in Management of Tibia Plateau Fracture
Sang Hak Lee, Kang-Il Kim
Journal of the Korean Fracture Society.2014; 27(3): 245. CrossRef

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Case Report

Traumatic Bilateral Anterior and Posterior Dislocations of the Hips with a Unilateral Acetabular Posterior Column Fracture (Thompson and Epstein type IV): A Case Report: Young Sik Lee, Jung Dae Oh, Jin Tae Choi, Gyeong Rin Lim; J Korean Soc Fract 1997;10(4):766-771. Published online October 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.4.766

Abstract PDF: A rare case of traumatic bilateral anterior and posterior dislocations of the hips occurred by passenger traffic accident . The right hip was dislocated posterosuperior to the right acetabulum with a linear acetabular posterior column tracture(Thompson and Epstein type IV) and left hip was dislocated anteroinferior to the left acetabulum(modified classification of Epstein type II A). The dislocations were successfully reduced by the Bigelows method for the right hip and the reverse Bigelows method for the left hip, and 4 weeks of Bucks traction was applied. He was able to return to full activity after 4 months. There was no sign of avascular necrosis at 3 years and 11 months follow-up.

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