Surgical Management of Postero-Medial Tibial Plateau Fracture: Is Plate Osteosynthesis Mandatory?
Saragaglia D*, Morin V and Pailhé R
Department of Orthopaedic Surgery and Sport Traumatology, Grenoble South Teaching Hospital, 38130, Échirolles, France
- *Corresponding Author:
- Saragaglia D
Department of Orthopaedic Surgery and Sport Traumatology
Grenoble South Teaching Hospital
38130, Échirolles, France
E-mail: [email protected]
Received date: April 19, 2016; Accepted date: June 27, 2016; Published date: June 30, 2016
Citation: Saragaglia D, Morin V, Pailhé R (2016) Surgical Management of Postero-Medial Tibial Plateau Fracture: Is Plate Osteosynthesis Mandatory?. J Trauma Treat 5:311. doi:10.4172/2167-1222.1000311
Copyright: © 2016 Saragaglia D, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Postero-medial tibial plateau fracture (Moore type 1) is challenging. Since several years a posterior approach has been described in order to use a butteress plate. In our opinion, it is possible to fix accurately this kind of fracture with 2 to 5 antero-posterior 6.5 mm cancellous screws through an anterior approach. The aim of this work was to present anatomical results and return to sport of 15 patients operated on for Moore type 1 tibial plateau fracture. We observed no pseudarthrosis or secondary varus displacement. 87% of patients resumed back to their sporting activities. The anteromedial incision has a dual advantage of anatomical postero-medial fragment reduction and tibial spine fixation (in 80% of our cases).