Complications and outcomes of the transfibular approach for posterolateral fractures of the tibial plateau

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dc.creatorRobinson Esteves Santos Pires
dc.creatorVincenzo Giordano
dc.creatorAndré Wajnsztejn
dc.creatorEgidio Oliveira Santana
dc.creatorRodrigo Pesantez
dc.creatorMark Lee
dc.creatorMarco Antônio Percope de Andrade
dc.date.accessioned2023-07-25T20:49:04Z
dc.date.accessioned2025-09-09T00:09:27Z
dc.date.available2023-07-25T20:49:04Z
dc.date.issued2016-07-06
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.1016/j.injury.2016.07.010
dc.identifier.issn00201383
dc.identifier.urihttps://hdl.handle.net/1843/56970
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofInjury
dc.rightsAcesso Restrito
dc.subjectFraturas do Planalto Tibial
dc.subjectNeuropatias Fibulares
dc.subjectFraturas do Joelho
dc.subjectFraturas não Consolidadas
dc.subject.otherTibial plateau
dc.subject.otherTransfibular osteotomy
dc.subject.otherFibular neck osteotomy
dc.subject.otherFractures of the tibial plateau
dc.subject.otherPeroneal nerve palsy
dc.subject.otherKnee fractures
dc.subject.otherTibial plateau fractures
dc.subject.otherPlate fixation
dc.subject.otherFractures
dc.subject.otherNonunion
dc.titleComplications and outcomes of the transfibular approach for posterolateral fractures of the tibial plateau
dc.typeArtigo de periódico
local.citation.epage2325
local.citation.spage2320
local.citation.volume47
local.description.resumoObjective: Evaluate complication rates and functional outcomes of fibular neck osteotomy for posterolateral tibial plateau fractures. Design: Retrospective case series. Setting: University hospital.Patients: From January 2013 to October 2014, 11 patients underwent transfibular approach for posterolateral fractures of the tibial plateau and were enrolled in the study. All patients who underwent transfibular approach were invited the return to the hospital for another clinical and imaging evaluation.Intervention: Transfibular approach (fibular neck osteotomy) with open reduction and internal fixation for posterolateral fractures of the tibial plateau. Main outcome measurements: Complications exclusively related to the transfibular approach: peroneal nerve palsy; knee instability; loss of reduction; nonunion and malunion of fibular osteotomy; and functional outcomes related to knee function. Results: Two patients failed to follow-up and were excluded from the study. Of the 9 patients included in the study, no patients demonstrated evidence of a peroneal nerve palsy. One patient presented loss of fracture reduction and fixation of the fibular neck osteotomy, requiring revision screw fixation. There were no malunions of the fibular osteotomy. None of the patients demonstrated clinically detectable posterolateral instability of the knee following surgery. American Knee Society Score was good in 7 patients (77.8%), fair in 1 (11.1%), and poor in 1 (11.1%). American Knee Society Score/Function showed 80 points average (60–100, S.D:11).Conclusion: The transfibular approach for posterolateral fractures is safe and useful for visualizing posterolateral articular injury. The surgeon must gently protect the peroneal nerve during the entire procedure and fix the osteotomy with long screws to prevent loss of reduction. Level of evidence: Therapeutic level IV
local.publisher.countryBrasil
local.publisher.departmentMED - DEPARTAMENTO DE APARELHO LOCOMOTOR
local.publisher.initialsUFMG
local.url.externahttps://www.sciencedirect.com/science/article/pii/S0020138316302881?via%3Dihub

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