Work

Extended anterolateral versus Frosch approach for type II tibial plateau fractures involving the posterolateral column: A retrospective case series study

Year: 2025

Type: article

Abstract: This study aimed to compare the extended anterolateral approach and the Frosch approach for treating type II tibial plateau fractures (based on the Schatzker classification system) involving the posterolateral column. A retrospective study was undertaken to compare general patient characteristics, intraoperative and postoperative outcomes, the Hospital for Special Surgery score, Rasmussen radiology score, tibial plateau angle, and posterior slope angle immediately after surgery and at a 1-year follow-up, between the 2 surgical approaches utilized between 2016 and 2020. Fifty-two patients with Schatzker type II fractures from Ningbo No. 2 Hospital were enrolled. No significant demographic differences existed between the 2 surgical groups. The Frosch approach group had slightly longer operative times but better hospital for special surgery knee scores and Rasmussen radiology scores than the extended anterolateral approach group. Both approaches achieved good outcomes for simple posterolateral fractures. For complex fractures, the Frosch approach may enabled more accurate reduction and superior biomechanical stability.

Source: Medicine

DOI: 10.1097/md.0000000000042767

Authors: Jiakai Zhang, Yi Zheng, Junlong Wu, Xinhua Yuan

Institution: Ningbo No. 2 Hospital

Language: English

Topic: Bone fractures and treatments

Subfield: Epidemiology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,950