Medial Plateau: Surgical Approach

- See:
      - Medial Tibial Plateua Fractures:

- Discussion:
    - on medial side, plate is applied to anteromedial face of proximal metaphysis deep to pes anserinus & anterior fibers of MCL;

- Incision:
    - incision begins over medial femoral condyle, continues anterodistally then crosses the joint line near the medial edge of the patellar
            tendon, and extends posterodistally for several centimeters;
    - arthrotomy of knee is not performed, if only tibial flare needs to be exposed;
    - the tibial flare and the fracture are exposed subperiosteally;
    - attachments of Pes anserinus from tibia are divided to allow sufficient exposure for application of plate;
    - superifial MCL insertion is preserved;
    - w/ knee flexed, tendons & medial collateral ligament move posteriorly, allowing maximum exposure of the flare

Post Operative Care and Complications

Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Thursday, May 24, 2012 3:28 pm