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CC BY-NC-ND 4.0 · Revista Chilena de Ortopedia y Traumatología 2024; 65(01): e9-e15
DOI: 10.1055/s-0042-1753548
Artículo Original | Original Article

Management of Medial Tibial Plateau Fracture using Antero- and Posteromedial Rim Plates

Article in several languages: español | English
Nicolás Franulic 
1   Equipo de Rodilla, Hospital del Trabajador ACHS, Santiago, Chile
2   Equipo de Rodilla, Hospital Militar de Santiago, Santiago, Chile
,
Tomás Pineda
3   Equipo de Rodilla, Hospital el Carmen, Santiago, Chile
,
Diego Valiente
1   Equipo de Rodilla, Hospital del Trabajador ACHS, Santiago, Chile
,
José Laso
1   Equipo de Rodilla, Hospital del Trabajador ACHS, Santiago, Chile
4   Equipo de Rodilla, Hospital Barros Luco Trudeau, Santiago, Chile
,
Nicolás Gaggero
1   Equipo de Rodilla, Hospital del Trabajador ACHS, Santiago, Chile
5   Equipo de Rodilla, Clínica Las Condes, Santiago, Chile
› Author Affiliations Funding The authors declare that they have not received any type of institutional or private funding for the performance of the present study.
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Abstract

Introduction In recent years, the use of horizontal plates has been described to achieve fixation of fractures that compromise the articular ridge of the tibial plateau; these plates are known as “rim plates.” Most publications report their use in the posterior and posterolateral columns of the tibial plateau, and to date there are few reports of its use for the fixation of the anteromedial column and none for the posteromedial column. The objective of the present article is to report two clinical cases of comminuted fractures of the medial tibial plateau, showing their treatment with the use of medial rim plates.

Clinical Cases The first case presented with an anteromedial and posteromedial tibial plateau fracture, and the second, a posteromedial fracture. In both cases, reduction was achieved through a posteromedial approach, and the fixation was performed with a 2.7-mm locked rim plate. The reduction strategy and postoperative management were detailed in each case.

Results Both patients achieved bone consolidation during the 14th and 18th weeks after the definitive osteosynthesis, without presenting loss of reduction. Both patients achieved full range of joint motion (0°–125°) and returned to work after four and six months respectively.

Conclusions These plates offer a good treatment option for comminuted fractures of the rim of the tibial plateau, for both the anteromedial and posteromedial columns. Despite the absence of large series of patients with the use of medial rim plates, the results of the two cases herein presented enables us to propose it as a useful tool when dealing with fractures of the medial rim of the tibial plateau.

Level of evidence V.

Keywords

tibial plateau fracture - internal fracture fixation - posteromedial approach - horizontal rafting plate - rim plate


Publication History

Received: 18 October 2021

Accepted: 06 January 2022

Article published online:
03 May 2024

© 2024. Sociedad Chilena de Ortopedia y Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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