Descripción anatómica de un nuevo abordaje posterolateral con doble ventana para el manejo de fracturas de platillos tibiales.
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| Title: | Descripción anatómica de un nuevo abordaje posterolateral con doble ventana para el manejo de fracturas de platillos tibiales. |
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| Alternate Title: | Anatomical description of a new posterolateral double-window approach for the management of tibial plateau fractures. |
| Authors: | Melo-Realpe, J. P.1, Hernández-Caicedo, A. J.1, Villa-Bandera, J. H.2, Gil-Noriega, G. A.2, Orlando-Clavijo, E.2, Suárez-Mejía, L. A.3 md.lsuarezmejia@gmail.com, Hernández-Díaz, T. A.3 |
| Source: | Acta Ortopédica Mexicana. May/Jun2026, Vol. 40 Issue 3, p195-200. 6p. |
| Subjects: | Tibial plateau fractures, Biceps femoris, Operative surgery, Treatment of fractures, Medical cadavers, Internal fixation in fractures |
| Abstract (English): | Introduction: anatomical reduction and stable fixation are crucial in the treatment of articular fractures to prevent post-traumatic osteoarthritis and joint dysfunction. However, surgical exposure of the lateral tibial plateau remains a challenge, especially in the posterolateral column. New approaches are needed to provide adequate visualization of the articular surface. This study aims to anatomically describe a posterolateral double-window approach (anterior and posterior to the biceps femoris) in cadaveric specimens, optimizing surgical exposure without the need for osteotomies. Material and methods: dissections were performed on two knee specimens, employing a posterolateral double-window approach (anterior and posterior to the biceps femoris). The exposed tibial surface was measured using a uniplanar ruler, and the percentages of lateral tibial plateau visualization were calculated. Results: in the left knee, the exposure of the anterolateral quadrant was 82%, and in the posterolateral quadrant was 66%. In the right knee, 70 and 66% were obtained, respectively. The anterolateral window provided greater exposure compared to the posterolateral one. Conclusion: this technique represents a viable surgical option to optimize tibial exposure without osteotomies. Clinical studies are needed to validate its impact on functional recovery in patients. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Introducción: la reducción anatómica y la fijación estable son fundamentales en el tratamiento de fracturas articulares para prevenir artrosis postraumática y disfunción articular. Sin embargo, la exposición quirúrgica del platillo tibial lateral sigue siendo un desafío, especialmente en la columna posterolateral; se requiere implementar nuevos abordajes que permitan una visualización adecuada de la superficie articular. En este estudio se busca describir anatómicamente un abordaje posterolateral con doble ventana (anterior y posterior al bíceps femoral) en un espécimen cadavérico, optimizando la exposición quirúrgica sin necesidad de realizar osteotomías. Material y métodos: se realizaron disecciones en dos rodillas de un cadáver, empleando un abordaje posterolateral con doble ventana (anterior y posterior al bíceps femoral). Se midió la superficie expuesta de la tibia utilizando una regla uniplanar y se calcularon los porcentajes de visualización del platillo tibial lateral. Resultados: en la rodilla izquierda, la exposición del cuadrante anterolateral fue de 82% y de 66% en el posterolateral. En la rodilla derecha, se obtuvo 70 y 66%, respectivamente. La ventana anterolateral permitió una mayor exposición en comparación con la posterolateral. Conclusión: esta técnica representa una opción quirúrgica viable para optimizar la exposición tibial sin osteotomías. Se requieren estudios clínicos para validar su impacto en la recuperación funcional de los pacientes. [ABSTRACT FROM AUTHOR] |
| Copyright of Acta Ortopédica Mexicana is the property of Sociedad Mexicana de Ortopedia, AC and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: lth DbLabel: MedicLatina An: 194436393 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Descripción anatómica de un nuevo abordaje posterolateral con doble ventana para el manejo de fracturas de platillos tibiales. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Anatomical description of a new posterolateral double-window approach for the management of tibial plateau fractures. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Melo-Realpe%2C+J%2E+P%2E%22">Melo-Realpe, J. P.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Hernández-Caicedo%2C+A%2E+J%2E%22">Hernández-Caicedo, A. J.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Villa-Bandera%2C+J%2E+H%2E%22">Villa-Bandera, J. H.</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Gil-Noriega%2C+G%2E+A%2E%22">Gil-Noriega, G. A.</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Orlando-Clavijo%2C+E%2E%22">Orlando-Clavijo, E.</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Suárez-Mejía%2C+L%2E+A%2E%22">Suárez-Mejía, L. A.</searchLink><relatesTo>3</relatesTo><i> md.lsuarezmejia@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Hernández-Díaz%2C+T%2E+A%2E%22">Hernández-Díaz, T. A.</searchLink><relatesTo>3</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Acta+Ortopédica+Mexicana%22">Acta Ortopédica Mexicana</searchLink>. May/Jun2026, Vol. 40 Issue 3, p195-200. 6p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Tibial+plateau+fractures%22">Tibial plateau fractures</searchLink><br /><searchLink fieldCode="DE" term="%22Biceps+femoris%22">Biceps femoris</searchLink><br /><searchLink fieldCode="DE" term="%22Operative+surgery%22">Operative surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+of+fractures%22">Treatment of fractures</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+cadavers%22">Medical cadavers</searchLink><br /><searchLink fieldCode="DE" term="%22Internal+fixation+in+fractures%22">Internal fixation in fractures</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: Introduction: anatomical reduction and stable fixation are crucial in the treatment of articular fractures to prevent post-traumatic osteoarthritis and joint dysfunction. However, surgical exposure of the lateral tibial plateau remains a challenge, especially in the posterolateral column. New approaches are needed to provide adequate visualization of the articular surface. This study aims to anatomically describe a posterolateral double-window approach (anterior and posterior to the biceps femoris) in cadaveric specimens, optimizing surgical exposure without the need for osteotomies. Material and methods: dissections were performed on two knee specimens, employing a posterolateral double-window approach (anterior and posterior to the biceps femoris). The exposed tibial surface was measured using a uniplanar ruler, and the percentages of lateral tibial plateau visualization were calculated. Results: in the left knee, the exposure of the anterolateral quadrant was 82%, and in the posterolateral quadrant was 66%. In the right knee, 70 and 66% were obtained, respectively. The anterolateral window provided greater exposure compared to the posterolateral one. Conclusion: this technique represents a viable surgical option to optimize tibial exposure without osteotomies. Clinical studies are needed to validate its impact on functional recovery in patients. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: Introducción: la reducción anatómica y la fijación estable son fundamentales en el tratamiento de fracturas articulares para prevenir artrosis postraumática y disfunción articular. Sin embargo, la exposición quirúrgica del platillo tibial lateral sigue siendo un desafío, especialmente en la columna posterolateral; se requiere implementar nuevos abordajes que permitan una visualización adecuada de la superficie articular. En este estudio se busca describir anatómicamente un abordaje posterolateral con doble ventana (anterior y posterior al bíceps femoral) en un espécimen cadavérico, optimizando la exposición quirúrgica sin necesidad de realizar osteotomías. Material y métodos: se realizaron disecciones en dos rodillas de un cadáver, empleando un abordaje posterolateral con doble ventana (anterior y posterior al bíceps femoral). Se midió la superficie expuesta de la tibia utilizando una regla uniplanar y se calcularon los porcentajes de visualización del platillo tibial lateral. Resultados: en la rodilla izquierda, la exposición del cuadrante anterolateral fue de 82% y de 66% en el posterolateral. En la rodilla derecha, se obtuvo 70 y 66%, respectivamente. La ventana anterolateral permitió una mayor exposición en comparación con la posterolateral. Conclusión: esta técnica representa una opción quirúrgica viable para optimizar la exposición tibial sin osteotomías. Se requieren estudios clínicos para validar su impacto en la recuperación funcional de los pacientes. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Acta Ortopédica Mexicana is the property of Sociedad Mexicana de Ortopedia, AC and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.35366/123291 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 6 StartPage: 195 Subjects: – SubjectFull: Tibial plateau fractures Type: general – SubjectFull: Biceps femoris Type: general – SubjectFull: Operative surgery Type: general – SubjectFull: Treatment of fractures Type: general – SubjectFull: Medical cadavers Type: general – SubjectFull: Internal fixation in fractures Type: general Titles: – TitleFull: Descripción anatómica de un nuevo abordaje posterolateral con doble ventana para el manejo de fracturas de platillos tibiales. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Melo-Realpe, J. P. – PersonEntity: Name: NameFull: Hernández-Caicedo, A. J. – PersonEntity: Name: NameFull: Villa-Bandera, J. H. – PersonEntity: Name: NameFull: Gil-Noriega, G. A. – PersonEntity: Name: NameFull: Orlando-Clavijo, E. – PersonEntity: Name: NameFull: Suárez-Mejía, L. A. – PersonEntity: Name: NameFull: Hernández-Díaz, T. A. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 05 Text: May/Jun2026 Type: published Y: 2026 Identifiers: – Type: issn-print Value: 23064102 Numbering: – Type: volume Value: 40 – Type: issue Value: 3 Titles: – TitleFull: Acta Ortopédica Mexicana Type: main |
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