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Posteromedial Tibial Plateau Fixation in the Prone Position: Applications of the Lobenhoffer Approach

February 19, 2016

Contributors: Elliot Row, MD; J Tracy Watson, MD; Clifford B Jones, MD, FACS; Stephen Kottmeier, MD; Stephen Kottmeier, MD

2016 AWARD WINNER Critical assessment of radiographic and clinical outcomes of the management of complex articular fragments of the proximal tibia suggests several aspects worthy of re-evaluation and potential modification. These include (1) refining understanding of fracture pathoanatomy and classification, (2) improving surgical access (exposure) and timing, (3) using preferential fixation constructs, and (4) modifying implant designs. This video highlights the attributes and limitations of current classification schemes and reviews the advantages of posterior access and prone positioning in select patients. The video discusses (1) axial classification schemes, (2) the posteromedial (Lobenhoffer) surgical exposure technique, (3) indications and case examples of retrocondylar access and fixation, and (4) the authors' clinical experience and outcomes.

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