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Document Type

Original Article

Abstract

Background: One of the crucial load-bearing parts of the human body is the proximal tibial articular surface. Axial loading and valgus or varus applied forces may combine to cause this region to fracture. Tibial plateau fracture has a significant impact on the knee's stability, mobility, and alignment of the lower limb. The fracture becomes more complicated the more force is given to the limb. Objective: To study the posteromedial approach for treating the medial and posteromedial tibial plateau fractures, and to evaluate efficacy of such approach in decreasing morbidity. Patients and Methods: This prospective investigation had 15 patients with medial or posteromedial tibial plateau fracture. 66.7% of cases have bicondoylar fracture, 20.0% have posterior medial fracture and 13.3% of cases have medial fracture. 80.0% of patients were managed by dual plating while 20% of patients were managed by single plating. Patients were recruited and assessed for eligibility at the Outpatient Clinic, Orthopeadic Surgery Department of Al-Salam Specialized Hospital. Results: Regarding the incidence of infection, the present study indicated that only one patient has superficial infection while the rest of patients have no infections. The present study revealed that the majority of cases achieved excellent clinical results representing 66.7% and good clinical results were achieved in 26.7% of cases, however, only one case has poor clinical results. Conclusion: The posteromedial approach is regarded as a secure and effective method of treating posteromedial tibial plateau fracture. It allows perfect visualization and reduction.

Keywords

Anteroposterior; tibial plateau fracture; posteromedial plate; bicondylar tibial plateau; open reduction and internal fixation

Subject Area

Orthopedics

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