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The Journal of Bone and Joint Surgery 80:1049-52 (1998)
© 1998 The Journal of Bone and Joint Surgery, Inc.

Bicondylar Fracture of the Posterior Aspect of the Tibial Plateau. A Case Report and a Modified Operative Approach*

DUWAYNE A. CARLSON, M.D.{dagger}, PHOENIX, ARIZONA

Investigation performed at the Maricopa County Medical Center, Phoenix


   Introduction
 
Bicondylar fractures of the tibial plateau are uncommon. When such a fracture does occur, it can be treated with open reduction and internal fixation, with external fixation, or with a combination of the two. The planes of cleavage usually are in the sagittal plane, which allows for visualization of the fracture lines through an anterior approach. Occasionally, the posterior aspect of the medial1-4 or lateral4,5 plateau is the site of the primary fracture. These coronally oriented fractures of the posterior part of the tibial plateau are difficult, and sometimes impossible, to visualize and fix through an anterior approach without arthroscopic assistance1-5. The present report describes the case of a patient in whom a bicondylar fracture of the posterior aspect of the tibial plateau was treated with a modified posterior approach.


   Case Report
 
A twenty-three-year-old woman was seen at the Maricopa County Medical Center after she had jumped off a gate and . . . [Full Text of this Article]


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[Abstract] [PDF]