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KMID : 0386420060190030396
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Journal of the Korean Fracture Society
2006 Volume.19 No. 3 p.396 ~ p.400
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Treatment of Complex Tibial Plateau Fractures: A Modified Patient Positioning for the Combined Anterior and Posterior Approaches
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Oh Jong-Keon
Oh Chang-Wug
Han Seung-Beom
Roh Kwon-Jae
Lee Kwan-Hee
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Abstract
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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.
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KEYWORD
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Tibial plateau, Complex fractures, Combined anterior and posterior approaches, Patient`s positioning
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