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The Journal of Bone and Joint Surgery, Vol 66, Issue 8 1236-1240, Copyright © 1984 by Journal of Bone and Joint Surgery, Inc

JOURNAL CONTENTS

A new surgical approach to fractures of the lateral tibial plateau

CR Perry, LG Evans, S Rice, J Fogarty and RE Burdge

We are reporting on a previously undescribed surgical approach and postoperative protocol for the treatment of fractures of the lateral tibial plateau in which there is a split pattern and depression of the articular surface. In this approach the anterior horn of the lateral meniscus is incised and detached so that the split fragment can be opened like a book. Detachment and incision of the anterior horn minimizes the need to free the lateral meniscus from its tibial attachment. The postoperative protocol includes continuous passive motion followed by non-weight-bearing in a toe-to-groin plaster cast for three months. Our preliminary results have been encouraging, and arthroscopic examination in the seven knees so studied indicated a healed fracture, restoration of the tibial articular surface, and a healed lateral meniscus.
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J. I. Waldrop, T. I. Macey, J. C. Trettin, W. R. Bourgeois, and J. C. Hughston
Fractures of the posterolateral tibial plateau
Am. J. Sports Med., September 1, 1988; 16(5): 492 - 498.
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