![]() We noted minor trauma, stable fixation, and satisfactory clinical results.Īrticular malreductions can reach > 30 % after tibial plateau fracture fixation, and complex tibial plateau fracture management remains clinically challenging. ![]() Our newly designed anatomical plate placed via the trans-supra-fibular approach can effectively treat posterolateral tibial plateau fractures. The LTPSA, TPTSA, step-off, and condylar widening at 3 days post-operatively, 3 months post-operatively, and at the final follow-up were significantly different ( p = 0.001) compared with those pre-operatively, as was the radiological Rasmussen score ( p = 0.001). The radiological Rasmussen score was calculated, and the Hospital for Special Surgery (HSS) knee score was assessed to evaluate the functional outcomes. The tibial plateau-tibial shaft angle (TPTSA), lateral posterior tibial slope angle (LPSTA), step-off, and condylar widening were measured on radiological images pre-operatively, 3 days post-operatively, 3 months post-operatively, and at the final follow-up examination. Methodsįrom May 2016 to May 2018, 23 consecutive patients with posterolateral tibial quadrant fractures underwent open reduction with internal fixation via the trans-supra-fibular-head approach with our newly developed plate. This study aimed to evaluate the short-term preliminary outcomes of our novel anatomical plate placed via the trans-supra-fibular approach to treat posterolateral tibial plateau fractures. There are no ideal plates or approaches for anatomical restoration and rigid fixation of posterolateral tibial plateau fractures.
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