A Modified Semi-Lithotomy Position for Approach to Tibial Plateau Complex Fractures: A Technical Note Publisher



Tahami M^{1, 2} ; Tahmasebi M² ; Sherafatvaziri A² ; Hoyos RP³ ; Bozorgmanesh M⁴
Source: Archives of Bone and Joint Surgery Published:2022

Abstract

There is no agreement on the best surgical strategy to manage multicolumnar tibial plateau fracture. The combined approach used by many investigators has been found to be an effective method. However, combined approaches call for repositioning the patient which lengthens the operation time. The sterility of the field of surgery might be jeopardized by repositioning. Intraoperative fluoroscopic imaging is hard to adjust to both parts of the combined positions. To tackle these problems without sacrificing the concept of three-column tibial plateau, we have started to use a combined medial and lateral approach without repositioning the patients using a modified semi-lithotomy position. © 2022 Mashhad University of Medical Sciences. All rights reserved.