Fibular shaft allograft support of posterior joint depression in tibial plateau fractures

Adam A. Sassoon, Michael E. Torchia, William W. Cross, Joseph R. Cass, S. Andrew Sems

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Summary: Posterior depression of the lateral articular surface of the tibial plateau can be difficult to elevate and support with morselized bone graft and internal fixation. Progressive collapse after open reduction and internal fixation has been described and can lead to failure in treatment. A standard anterolateral approach to the tibia may not allow direct reduction and stabilization of posterolateral joint depression given the anatomic barriers of the fibular collateral ligament and the proximal tibiofibular articulation. Posterolateral approaches to the tibial plateau have been described and may allow direct reduction of the articular depression. These approaches, however, require dissection close to the common peroneal nerve, and some approaches also require a proximal fibular osteotomy. The use of an intraosseous fibular shaft allograft as an adjunct to open reduction and internal fixation in select cases of depressed posterolateral tibial plateau fractures allows both reduction of the joint and stabilization of the articular segment through a single approach familiar to many orthopaedic surgeons.

Original languageEnglish (US)
JournalJournal of Orthopaedic Trauma
Volume28
Issue number7
DOIs
StatePublished - 2014

Fingerprint

Tibial Fractures
Allografts
Joints
Collateral Ligaments
Peroneal Nerve
Osteotomy
Treatment Failure
Tibia
Dissection
Transplants
Bone and Bones

Keywords

  • bone graft
  • plateau
  • reduction
  • technique
  • tibial plateau fracture

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Fibular shaft allograft support of posterior joint depression in tibial plateau fractures. / Sassoon, Adam A.; Torchia, Michael E.; Cross, William W.; Cass, Joseph R.; Sems, S. Andrew.

In: Journal of Orthopaedic Trauma, Vol. 28, No. 7, 2014.

Research output: Contribution to journalArticle

Sassoon, Adam A. ; Torchia, Michael E. ; Cross, William W. ; Cass, Joseph R. ; Sems, S. Andrew. / Fibular shaft allograft support of posterior joint depression in tibial plateau fractures. In: Journal of Orthopaedic Trauma. 2014 ; Vol. 28, No. 7.
@article{fe4d5cfe5796481998147d657e9a0f1c,
title = "Fibular shaft allograft support of posterior joint depression in tibial plateau fractures",
abstract = "Summary: Posterior depression of the lateral articular surface of the tibial plateau can be difficult to elevate and support with morselized bone graft and internal fixation. Progressive collapse after open reduction and internal fixation has been described and can lead to failure in treatment. A standard anterolateral approach to the tibia may not allow direct reduction and stabilization of posterolateral joint depression given the anatomic barriers of the fibular collateral ligament and the proximal tibiofibular articulation. Posterolateral approaches to the tibial plateau have been described and may allow direct reduction of the articular depression. These approaches, however, require dissection close to the common peroneal nerve, and some approaches also require a proximal fibular osteotomy. The use of an intraosseous fibular shaft allograft as an adjunct to open reduction and internal fixation in select cases of depressed posterolateral tibial plateau fractures allows both reduction of the joint and stabilization of the articular segment through a single approach familiar to many orthopaedic surgeons.",
keywords = "bone graft, plateau, reduction, technique, tibial plateau fracture",
author = "Sassoon, {Adam A.} and Torchia, {Michael E.} and Cross, {William W.} and Cass, {Joseph R.} and Sems, {S. Andrew}",
year = "2014",
doi = "10.1097/BOT.0000000000000020",
language = "English (US)",
volume = "28",
journal = "Journal of Orthopaedic Trauma",
issn = "0890-5339",
publisher = "Lippincott Williams and Wilkins",
number = "7",

}

TY - JOUR

T1 - Fibular shaft allograft support of posterior joint depression in tibial plateau fractures

AU - Sassoon, Adam A.

AU - Torchia, Michael E.

AU - Cross, William W.

AU - Cass, Joseph R.

AU - Sems, S. Andrew

PY - 2014

Y1 - 2014

N2 - Summary: Posterior depression of the lateral articular surface of the tibial plateau can be difficult to elevate and support with morselized bone graft and internal fixation. Progressive collapse after open reduction and internal fixation has been described and can lead to failure in treatment. A standard anterolateral approach to the tibia may not allow direct reduction and stabilization of posterolateral joint depression given the anatomic barriers of the fibular collateral ligament and the proximal tibiofibular articulation. Posterolateral approaches to the tibial plateau have been described and may allow direct reduction of the articular depression. These approaches, however, require dissection close to the common peroneal nerve, and some approaches also require a proximal fibular osteotomy. The use of an intraosseous fibular shaft allograft as an adjunct to open reduction and internal fixation in select cases of depressed posterolateral tibial plateau fractures allows both reduction of the joint and stabilization of the articular segment through a single approach familiar to many orthopaedic surgeons.

AB - Summary: Posterior depression of the lateral articular surface of the tibial plateau can be difficult to elevate and support with morselized bone graft and internal fixation. Progressive collapse after open reduction and internal fixation has been described and can lead to failure in treatment. A standard anterolateral approach to the tibia may not allow direct reduction and stabilization of posterolateral joint depression given the anatomic barriers of the fibular collateral ligament and the proximal tibiofibular articulation. Posterolateral approaches to the tibial plateau have been described and may allow direct reduction of the articular depression. These approaches, however, require dissection close to the common peroneal nerve, and some approaches also require a proximal fibular osteotomy. The use of an intraosseous fibular shaft allograft as an adjunct to open reduction and internal fixation in select cases of depressed posterolateral tibial plateau fractures allows both reduction of the joint and stabilization of the articular segment through a single approach familiar to many orthopaedic surgeons.

KW - bone graft

KW - plateau

KW - reduction

KW - technique

KW - tibial plateau fracture

UR - http://www.scopus.com/inward/record.url?scp=84903300880&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84903300880&partnerID=8YFLogxK

U2 - 10.1097/BOT.0000000000000020

DO - 10.1097/BOT.0000000000000020

M3 - Article

C2 - 24121981

AN - SCOPUS:84903300880

VL - 28

JO - Journal of Orthopaedic Trauma

JF - Journal of Orthopaedic Trauma

SN - 0890-5339

IS - 7

ER -