Gastrocnemius raphe split approach for complex proximal tibia fractures – Applicability and advantages

Forty decades ago Joseph Schatzker classified proximal tibia fracture based on radiographs only [1]. Due to the limited information available coronal plane fractures involving the posterior tibial plateau were under emphasized. The subsequent introduction of Computed tomography scan (CT scan) has improved our understanding of these injuries, and made it possible to identify fractures involving the posterior column of tibial plateau [2 –4]. A lack of emphasis on posterior column fracture reduction and stabilization, when fixing tibial condyle fractures can lead to a mal-reduction, which subsequently leads to posteroinferior subluxation, arthritis and chronic pain [3,5].

Source: Injury - September 10, 2018 Category: Orthopaedics Authors: Devendra K. chouhan, Mandeep Singh Dhillon, Puneeth .k, Vivek ponnusamy, Rajendra Kanaujia, Mahesh Prakash Source Type: research