Abstract

BEATTI, Matías A.; ZUBLIN GUERRA, Carlos M.; GUICHET, Diego M.  and  PELLECCHIA, Tomás S.. Abordaje intergemelar posteromediano del platillo tibial. Descripción de la técnica quirúrgica. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2022, vol.87, n.2, pp.273-284. ISSN 1852-7434.  http://dx.doi.org/https://doi.org/10.15417/issn.1852-7434.2022.87.2.1437.

Introduction: There are multiple approaches described in the literature for the treatment of fractures that involve the posterior columns of the tibial plateau. We present an anatomical intergastrocnemius approach for the treatment of all fractures involving the posterior component. It allows access with complete visualization of the entire posterior region, facilitating the reduction and placement of the osteosynthesis material necessary to achieve the most stable configuration. Surgical technique: We describe the posteromedial intergastrocnemius approach to access the tibial plateau performed by our team. Conclusion: We consider that this approach represents an option to consider when treating fractures that affect both posterior columns, some of them in isolation, or the tibial insertion of the PCL. Although the neurovascular structures require constant attention during the surgical procedure, their direct vision and their meticulous protection, performed by experienced surgeons, minimizes the risk of injury, and their manipulation is not a contraindication for using this approach.

Keywords : Tibial plateau fractures; intergastrocnemius approach; posteromedial tibial plateau approach; posterior tibial plateau approach; tibial plateau osteosynthesis.

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