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Journal articles on the topic 'Posteromedial approach'

Author: Grafiati

Published: 7 June 2025

Last updated: 2 August 2025

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1

MOHAMED KADI, MOHAMED ZAIBI, ANASS ABAYDI, JIHAD RADI, KAMAL LAHRACH, and FAWZI BOUTAYEB. "Lobbenhaufer approach to treat tibial plateau fracture: How and Why?" World Journal of Advanced Research and Reviews 26, no. 1 (2025): 2606–9. https://doi.org/10.30574/wjarr.2025.26.1.1336.

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Introduction: Tibial plateau fractures involving the posterior column are complex and often underdiagnosed without advanced imaging. Proper identification and surgical planning are essential for optimal outcomes. The Lobenhoffer approach, described in 2003, provides direct access to the posteromedial tibial plateau and facilitates stable fixation. Case Presentation: We report the case of a 57-year-old male involved in a motorcycle accident who sustained a split-depression fracture of the lateral tibial plateau with an associated, initially missed, posteromedial fragment identified on CT. Emerg

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YASSER, SBIHI, EL ADAOUI OUSSAMA, CALA ALBAN, et al. "Fracture of the posteromedial process of the talus: A rare entity to explore." World Journal of Advanced Research and Reviews 22, no. 2 (2024): 1616–20. https://doi.org/10.5281/zenodo.14702165.

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Posteromedial process fracture is a rare injury. its diagnosis can go unnoticed, especially when other lesions appear in the foreground. the surgical approach of these fractures is difficult, due to the vascular and nervous elements which block the passage and requires a good understanding of the fracture to properly treat it. We report through the case of a 23-year-old young man presenting a fracture of the posteromedial process associated with a subtalar dislocation, the mechanism, diagnosis and treatment of this fracture.

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Franulic, Nicolás, Tomás Pineda, José Laso, Diego Valiente, and Nicolás Gaggero. "Posteromedial Submeniscal Arthrotomy and Fixation with a Posteromedial Rim Plate in a Comminuted Medial Tibial Plateau Fracture." Case Reports in Orthopedics 2023 (May 18, 2023): 1–6. http://dx.doi.org/10.1155/2023/3635067.

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Medial tibial plateau fractures generally present as simple metaphyseal fractures; however, certain cases may present as comminuted articular fractures. Medial and posteromedial anatomical plates have traditionally been used for their management; nevertheless, not all cases can be successfully managed using these implants. We present a comminuted posteromedial Schatzker type VI tibial plateau fracture case. Direct visualization and subsequent fixation using a posteromedial rim plate were achieved through a posteromedial approach and submeniscal arthrotomy. The adequate joint reduction and the

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Solasz, Sara, Abhishek Ganta, and Sanjit R. Konda. "Posteromedial Surgical Approach for Fixation of Haraguchi Type 2B Posterior Malleolar Fracture." Journal of Orthopaedic Trauma 37, no. 8S (2023): S9—S10. http://dx.doi.org/10.1097/bot.0000000000002634.

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Summary: A case of a 26-year-old man with a displaced medial malleolus fracture with extension into the posteromedial aspect of the posterior malleolus is presented. A CT scan of the ankle is obtained demonstrating a Haraguchi type 2B posterior malleolus fracture with a posteromedial and posterolateral fragment. The posteromedial fragment extends into the posterior colliculus of the medial malleolus and has a subchondral impaction fracture. There is also a 1 × 1 cm piece of the articular surface of the posterior malleolus that has flipped 90 degrees and lodged itself between the posterolateral

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5

Kubiak, Erik N., and Florian Nickisch. "Posteromedial Approach for Talar Body Fractures." Techniques in Foot & Ankle Surgery 8, no. 2 (2009): 65–69. http://dx.doi.org/10.1097/btf.0b013e3181a770e1.

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6

Donahue, Jeffrey, Ademola Shofoluwe, Kurt Krautmann, Emilio Grau-Cruz, Stephen Becher, and Jennifer Bruggers. "Quantification and Comparison of Talar Exposure Utilizing a Posteromedial Approach and Medial Malleolar Osteotomy." Foot & Ankle Orthopaedics 6, no. 2 (2021): 247301142110126. http://dx.doi.org/10.1177/24730114211012691.

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Background: Fractures of the talus are a rare but challenging injury. This study sought to quantify the area of osseous exposure afforded by a posteromedial approach to the talus and medial malleolar osteotomy. Methods: Five fresh-frozen cadaveric lower extremities were dissected using a posteromedial approach and medial malleolar osteotomy respectively. Following exposure, the talar surfaces directedly visualized were marked and captured using a calibrated digital image. The digital images were then analyzed using ImageJ software (National Institutes of Health) to calculate the surface area o

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7

Zbeda, Robert, Lon Weiner, Stuart Katchis, and Steven Friedel. "Open Reduction Internal Fixation of Posterior Malleolus Fractures via a Posteromedial Approach." Foot & Ankle Orthopaedics 2, no. 3 (2017): 2473011417S0004. http://dx.doi.org/10.1177/2473011417s000427.

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Category: Ankle, Trauma Introduction/Purpose: Ankle fractures with a posterior malleolus component are complex injuries to manage. Due to the heterogeneous morphology of these fractures and lack of high-quality evidence, methods of surgical fixation are controversial and highly variable. The most commonly used surgical methods include indirect reduction via a percutaneous anterior approach or direct reduction via a posterolateral approach. For large posterior malleolus fractures with medial extension, direct reduction via a posteromedial approach is an alternative surgical option. The purpose

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Polesello, Giancarlo C., Marcelo C. Queiroz, Marina J. P. S. S. de Figueiredo, Susana R. Braga, Walter Ricioli, and Miguel Akkari. "Medial Hip Arthroscopy Portals: A Novel Approach for Hip Pathologies. is it Feasible?" HIP International 27, no. 3 (2017): e3-e5. http://dx.doi.org/10.5301/hipint.5000495.

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Purpose To report 3 patients operated on using medial hip arthroscopic portals, describe the surgical technique and clinical outcomes. Methods Three medial portals were made, the first one at the posterior edge of the adductor longus muscle (posterior medial portal), the second one at the anterior (anterior medial portal) and the third at the posterior border of the adductor longus, 5 cm distal to the inguinal crease (distal posterior medial portal). The first case was an 8-year-old boy with a lytic lesion at the posteromedial region of the femoral neck suggestive of sub-acute osteomyelitis. T

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Palma, Joaquin, Tomas Urrutia, and Jorge Faundez. "Ankle Approach Selection: Defining Eight Ankle Approaches Exposure Segment and Area." Foot & Ankle Orthopaedics 7, no. 1 (2022): 2473011421S0038. http://dx.doi.org/10.1177/2473011421s00385.

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Category: Ankle; Trauma Introduction/Purpose: Ankle and tibial plafond fractures are a frequent problems in everyday practice. To achieve the best possible outcome, proper soft tissue handling and joint surface restoration is mandatory, therefore, approach selection is of vital importance. Currently, there is no consensus nor evidence-based data regarding this critical planning step, and published guidelines are based on expert opinion. The aim of this study was to measure exposure segment and amount of area exposed by 8 different approaches and to provide objective data to be used as a tool i

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Farias Molina, Wellington, Lourenço Galizia Heitzmann, Guilherme Bottino Martins, Luiz Sergio Martins Pimenta, Giezy Rasfasky Fiorot, and Ian Almeida Fragalli. "Access to the talar dome through the medial posterolateral approach: an anatomical study." Journal of the Foot & Ankle 15, no. 3 (2021): 247–51. http://dx.doi.org/10.30795/jfootankle.2021.v15.1596.

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Background: The osteochondral grafting has become a popular procedure for treating challenging talar dome lesions. However, the vast majority are treated through medial malleolus osteotomy. The aim of this study was to determine the posteromedial area of the talus that can be reached without malleolar osteotomy through the posteromedial approach. Study Design: Descriptive laboratory study. Evidence Level 4 Methods: Fifteen human cadaveric ankles were dissected in a standard fashion to expose the posteromedial talar dome. Seven approaches were used on the cadaver's left limb (46.7%)

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Shields, Charlotte N., Nima Eftekhary, and Kenneth A. Egol. "Posteromedial Approach to Tibial Plateau Fracture Nonunion." Journal of Orthopaedic Trauma 34, no. 2 (2020): S33—S34. http://dx.doi.org/10.1097/bot.0000000000001826.

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12

Hsieh, Chih-Hsin, Hsuan-Ti Huang, Ping-Cheng Liu, Cheng-Chang Lu, Jian-Chih Chen, and Gau-Tyan Lin. "Anterior Approach for Posteromedial Tibial Plateau Fractures." Kaohsiung Journal of Medical Sciences 26, no. 3 (2010): 130–35. http://dx.doi.org/10.1016/s1607-551x(10)70019-x.

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13

Bauer, Thomas, Antoine Morvan, Nicolas Baudrier, and Benoit Villain. "Posteromedial tendinous and neurovascular structures of the ankle: the correlation between arthroscopic and open dissection in a cadaveric study." Orthopaedic Journal of Sports Medicine 9, no. 2_suppl (2021): 2325967121S0001. http://dx.doi.org/10.1177/2325967121s00012.

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Objectives: Posterior ankle arthroscopy has advanced considerably in recent years. A large number of posteromedial pathologies can now be treated by arthroscopy on an outpatient basis. The purpose of this study was to evaluate the feasibility and safety of a posteromedial ankle arthroscopy with an open control procedure. Methods: Twenty cadavers were dissected (twenty-four ankles). We first performed a posterior ankle arthroscopy using the classical ankle approaches: posteromedial and posterolateral. A third approach was created at the base of the posterior tibial tendon, posterior to the coll

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Prakash, Jatin, Ashish Jaiman, and Rajesh Kumar Chopra. "Posteromedial versus direct posterior approach for posterior cruciate ligament avulsion – A comparative study." Journal of Orthopaedics, Trauma and Rehabilitation 27, no. 2 (2020): 166–72. http://dx.doi.org/10.1177/2210491720942929.

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Background/Purpose: Open reduction of acute avulsion of posterior cruciate ligament (PCL) fragment may be achieved through direct posterior approach or posteromedial approach. The aim of our study was to compare these two techniques for fixation of avulsed PCL fragment. Our primary study objective was to study that which of the above techniques provides a better screw placement on post-operative radiographs. The secondary objectives were to study any statistically significant differences in surgical time, blood loss, incidence of neurovascular injury, bone union and functional knee scores in t

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Shofoluwe, Ademola I. "Quantification and Comparison of Talar Exposure Utilizing A Posteromedial Approach and Medial Malleolar Osteotomy." Foot & Ankle Orthopaedics 7, no. 1 (2022): 2473011421S0045. http://dx.doi.org/10.1177/2473011421s00452.

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Category: Ankle; Hindfoot; Trauma Introduction/Purpose: Fractures of the talus contain a variety of morphologies including the head, neck, body, dome, lateral process, posterior process, and medial/lateral tubercles. Specifically, the posterior medial approach is useful for surgical fixation of posterior process fractures. The use of the medial malleolar osteotomy is beneficial in more extensive medial and distal exposure for neck or neck/body fractures. The purpose of this study was to quantify the area of osseous exposure afforded by a posteromedial approach to the talus and medial malleolar

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16

Smith, Kris A., and Robert F. Spetzler. "Supratentorial—infraoccipital approach for posteromedial temporal lobe lesions." Journal of Neurosurgery 82, no. 6 (1995): 940–44. http://dx.doi.org/10.3171/jns.1995.82.6.0940.

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✓ The use of the supratentorial—infraoccipital approach is reported in seven patients with posteromedial temporal lobe lesions. No patient had permanent morbidity. Gross total resection of three low-grade gliomas and two gangliogliomas was achieved in five patients; one patient had subtotal resection of a low-grade glioma with adjacent gliosis, and one was initially thought to have a glioma but proved to have encephalomalacia on final pathological analysis. The patients ranged in age from 5 to 34 years. All seven patients presented with seizures, and four had uncontrolled seizures preoperative

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17

Bassett, Frank H., James B. Billys, and Herbert S. Gates. "A simple surgical approach to the posteromedial ankle." American Journal of Sports Medicine 21, no. 1 (1993): 144–46. http://dx.doi.org/10.1177/036354659302100124.

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18

??znur, Ali, Cemalettin Aksoy, and A. Mazhar Tokg??zo??lu. "Posteromedial Approach and Posterior Plating of the Tibia." Journal of Trauma: Injury, Infection, and Critical Care 53, no. 4 (2002): 722–24. http://dx.doi.org/10.1097/00005373-200210000-00017.

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19

Nakazora, Shigeto, Akinobu Nishimura, Naoya Ito, Ko Kato, and Akihiro Sudo. "Endoscopic Resection for Talocalcaneal Coalition Using Posteromedial Approach." Foot & Ankle Orthopaedics 1, no. 1 (2016): 2473011416S0006. http://dx.doi.org/10.1177/2473011416s00064.

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20

Ebraheim, Nabil A., Thomas G. Padanilam, and Fook Y. Wong. "Posteromedial Process Fractures of the Talus." Foot & Ankle International 16, no. 11 (1995): 734–39. http://dx.doi.org/10.1177/107110079501601112.

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In this report, we present the diagnosis and clinical outcome of four patients with fractures of the posteromedial process of the talus. In two patients, the posteromedial process fracture was missed initially, which led to painful nonunions. One patient was treated with excision of a nonunion, and the other patient with a nonunion refused further surgery. Two patients underwent ORIF through a posteromedial approach. CT scans were useful in defining the fracture in all four patients. Cast treatment was recommended for nondisplaced fractures or fractures without significant subtalar joint invol

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21

Belenkiy, Igor G., Boris A. Maiorov, Aleksandr Yu Kochish, et al. "Posteromedial Approach in Fracture Fixation of Malleoli and Posterior Edge of Tibia." Traumatology and Orthopedics of Russia 28, no. 3 (2022): 16–28. http://dx.doi.org/10.17816/2311-2905-1800.

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Background. Surgical treatment of malleoli injuries is performed according to the principles of articular fractures management. It is particularly true for ankle injuries involving fractures of posterior edge of the tibia. The posteromedial approach enables to improve the results of surgical treatment of patients due to the direct reduction of tibia fragments. Aim of the study to evaluate the efficacy and advisability of the modified posteromedial approach in patients with unstable fractures of malleoli and posterior edge of the tibia. Methods. Twenty two patients with unstable fra

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Gousopoulos, Lampros, Graeme Hopper, Yoann Levy, Charles Grob, Thais Dutra Vieira, and Bertrand Sonnery-Cottet. "Easy Arthroscopic Transseptal Approach of the Knee." Video Journal of Sports Medicine 2, no. 4 (2022): 263502542210872. http://dx.doi.org/10.1177/26350254221087290.

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Background: The arthroscopic approach to the posterior compartment of the knee is always challenging. This easy arthroscopic transseptal approach allows safe access to the posterior compartment of the knee, avoiding any potential neurovascular injury. Indications: Indications include arthroscopic posterior cruciate ligament (PCL) reconstruction, fixation of avulsion fractures of the tibial attachment of the PCL, arthroscopic posterolateral corner reconstruction, removal of loose bodies from the posterior compartment, PCL cyst removal, ramp repair, and arthroscopic arthrolysis of the posterior

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Tresley, Jonathan, and Jean Jose. "Sonographically Guided Posteromedial Approach for Intra-articular Knee Injections." Journal of Ultrasound in Medicine 34, no. 4 (2015): 721–26. http://dx.doi.org/10.7863/ultra.34.4.721.

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Shi, Zhongmin, Jian Zou, and Xincheng Yi. "Posteromedial Approach in Treatment of Talar Posterior Process Fractures." Journal of Investigative Surgery 26, no. 4 (2013): 204–9. http://dx.doi.org/10.3109/08941939.2012.740146.

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Foster, Brock, Andres Rodriguez-Buitrago, and William T. Obremskey. "Prone Posteromedial Approach for Posterior Column Tibial Plateau Fractures." Journal of Orthopaedic Trauma 34, no. 2 (2020): S35—S36. http://dx.doi.org/10.1097/bot.0000000000001832.

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Bauer, Kathryn L., and James P. Stannard. "Surgical approach to the posteromedial corner: indications, technique, outcomes." Current Reviews in Musculoskeletal Medicine 6, no. 2 (2013): 124–31. http://dx.doi.org/10.1007/s12178-013-9161-3.

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Acklin, Y. P., P. Potocnik, and C. Sommer. "Extended medial approach in posteromedial proximal tibia fracture dislocation." Operative Orthopädie und Traumatologie 27, no. 2 (2014): 183–90. http://dx.doi.org/10.1007/s00064-014-0306-3.

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28

Palma, Joaquin, Tomas Urrutia, and Sergio Morales. "Medial Approaches to the Posterior Malleolus: A Comparative Cadaveric Study." Foot & Ankle Orthopaedics 7, no. 1 (2022): 2473011421S0038. http://dx.doi.org/10.1177/2473011421s00386.

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Category: Ankle; Trauma Introduction/Purpose: Ankle fractures are the most common fractures of the lower extremity. In spite of that, there is still no consensus regarding the best way to approach posterior malleolus (PM) fractures. The aim of this study is to compare the degree of PM exposure, tension of the flap containing the medial neurovascular bundle (NVB) and distance between the surgical incision and the NVB using three different posteromedial ankle approaches. Methods: Three different posteromedial approaches were compared: direct medial (DM) modified posteromedial (MPM) and posterior

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29

Chandan, Kumar, J. Unnikrishnan, and VA Bindulal. "Posteromedial tibial plateau fractures – Functional outcome of posteromedial buttress plating with precontoured locking plate using modified lobenhoffer approach." Journal of Orthopaedic Diseases and Traumatology 5, no. 3 (2022): 180. http://dx.doi.org/10.4103/jodp.jodp_22_22.

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30

Dar, Usman Zafar, Ali Muqaddas, Mohammad Nauman Shahid, Muhammad Ahmed, Sameer Ahmed, and Naeem Hussain. "Posteromedial Buttress Plate for Schatzker 6 Fractures as Double Column Fixation." Pakistan Journal of Medical and Health Sciences 17, no. 2 (2023): 543–45. http://dx.doi.org/10.53350/pjmhs2023172543.

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Objective: Treatment of Schatzker Type 6 fractures is to use a posteromedial buttress plate as part of a double-column fixation technique. Materials & Methods: The design of this study was a cross sectional study design and this study was conducted in DHQ Teaching Hospital Gujranwala. patients with posterior medial fracture of Schatzker type 6 and having associated damage of some soft tissue present within the joint underwent surgery at our institutional operation theatre. In this Study setting we included total 20 patients (14 male [70%] and 6 females [30%]) who came with Bicondylar fract

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31

Green, Joshua S., Sercan Yalcin, Jay Moran, William M. McLaughlin, and Michael J. Medvecky. "Dual Posteromedial Portal Technique for Surgical Repair of an Unstable Medial Meniscal Ramp Lesion." Video Journal of Sports Medicine 2, no. 6 (2022): 263502542211225. http://dx.doi.org/10.1177/26350254221122583.

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Background: Medial meniscal ramp lesions, which commonly occur in the setting of anterior cruciate ligament (ACL) ruptures, are defined as structural lesions at the medial meniscocapsular junction and can involve the posteromedial capsular attachments or most peripheral aspect of the meniscus. Unstable ramp lesions can lead to rotational instability within the knee and may play a role in ACL graft failure if left untreated. The novel use of dual posteromedial portals, similar to those used in an arthroscopic labral repair, may allow for enhanced visualization, optimal access to the posteromedi

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32

Mohd, Yunus R., G. N. Solayar, and A. R. Ahmad. "POSTERO-MEDIAL TIBIAL PLATEAU (MOORE’S TYPE) FRACTURE AND THE IMPORTANCE OF COMPUTER TOMOGRAPHY IN DIAGNOSIS: A CASE REPORT." Orthopaedic Journal of Sports Medicine 8, no. 5_suppl5 (2020): 2325967120S0004. http://dx.doi.org/10.1177/2325967120s00044.

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Moore type I posteromedial split fracturedislocation of proximal tibia are relatively uncommon. It is a specific fracture pattern that is not well described by the AO (41B2.2/B3.2) or Schatzker (IV) classification system because these systems do not differentiate when the medial fragment is primarily posterior and associated with a dislocation as the Moore system does. 1The additional use of computed tomography scans in the assessment of tibial plateau fracture may improve surgeon’s agreement that lead to the final decision and optimization of treatment. 2Galla and Lobenhoffer described a dire

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Pino, Felipe, Christian I. Bastias Soto, Leonardo Lagos, and Christian Urbina. "Reduction Quality in Posterior Malleolar Fractures using the Modified Posteromedial Ankle Approach." Foot & Ankle Orthopaedics 7, no. 4 (2022): 2473011421S0088. http://dx.doi.org/10.1177/2473011421s00881.

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Category: Trauma; Ankle Introduction/Purpose: Several studies have documented which of the posterior ankle approaches has the best exposure of the posterior malleolus. However, no study has made a correlation between the quality of posterior fragment reduction using CT scan and the approach used. The purpose of this study was to assess the quality of reduction of posterior malleolus fractures in patients with trimalleolar ankle fractures operated with the modified posteromedial approach. Methods: A retrospective search was performed in two Health Centers between 2014 and 2021 for patients with

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34

YASSER SBIHI, OUSSAMA EL ADAOUI, ALBAN CALA, et al. "Fracture of the posteromedial process of the talus: A rare entity to explore." World Journal of Advanced Research and Reviews 22, no. 2 (2024): 1616–20. http://dx.doi.org/10.30574/wjarr.2024.22.2.1550.

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Posteromedial process fracture is a rare injury. its diagnosis can go unnoticed, especially when other lesions appear in the foreground. the surgical approach of these fractures is difficult, due to the vascular and nervous elements which block the passage and requires a good understanding of the fracture to properly treat it. We report through the case of a 23-year-old young man presenting a fracture of the posteromedial process associated with a subtalar dislocation, the mechanism, diagnosis and treatment of this fracture.

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35

Heyer, Jessica H., and Donald J. Rose. "Os Trigonum Excision in Dancers via an Open Posteromedial Approach." Foot & Ankle International 38, no. 1 (2016): 27–35. http://dx.doi.org/10.1177/1071100716665576.

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Background: An os trigonum is a potential source of posterior ankle pain in dancers, often associated with flexor hallucis longus (FHL) pathology. Options for operative excision include open excision, subtalar arthroscopy, and posterior endoscopy. The purpose of this paper was to present a series of dancers who underwent excision of a symptomatic os trigonum via an open posteromedial approach. Methods: This study is a retrospective case series of 40 ankles in 38 dancers who underwent os trigonum excision via an open posteromedial approach with FHL tenolysis between 2000 and 2013. All patients

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Banks, AS, and D. Caldarella. "Fractures of the posteromedial process of the talus." Journal of the American Podiatric Medical Association 84, no. 2 (1994): 66–70. http://dx.doi.org/10.7547/87507315-84-2-66.

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37

Manikandan, N., and K. P. Saravanakumar. "A study on functional and radiological outcome of complex tibial plateau fractures by posteromedial plating." International Journal of Research in Orthopaedics 5, no. 2 (2019): 223. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20190055.

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<p class="abstract"><strong>Background:</strong> In orthopaedic practice, three column concept and fixation for proximal tibia are becoming popular as it was proved that fixation of posterior column is a must for proper weight transmission and stability. This study demonstrates the use of the posteromedial surgical approach to the knee in treating patients with complex tibial plateau injuries with a posteromedial column fracture. The aim of the study was to study the functional and radiological outcome of complex tibial plateau fracture by posteromedial plating.</p><

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Ambra, Luiz Felipe M., Carlos Eduardo S. Franciozi, Luiz Guilherme M. Werneck, et al. "Posteromedial Versus Direct Posterior Approach for Posterior Cruciate Ligament Reinsertion." Orthopedics 39, no. 5 (2016): e1024-e1027. http://dx.doi.org/10.3928/01477447-20160623-15.

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39

Chandele, Vijaysing S., Abhishek P. Bhalotia, Milind V. Ingle, and Maroti R. Koichade. "Posteromedial fragment fixation through Lobenhoffer approach in tibial plateau fractures." International Journal of Research in Orthopaedics 3, no. 3 (2017): 497. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20171891.

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<p class="abstract"><strong>Background:</strong> <span lang="EN-GB">Management of tibial plateau fractures with coronal fractures especially posteromedial fragment is frequent and challenging. This study was conducted to </span><span lang="EN-IN">evaluate the</span><span lang="EN-GB"> functional outcome of patients with tibial plateau fractures having posteromedial fragment treated with open reduction and internal fixation (ORIF) using Lobenhoffer approach</span><span lang="EN-IN">.</span></p><p class="abstract"><

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Marchessault, Jeffrey A., and Eugene J. Dabezies. "Posteromedial Elbow Approach for Treatment of Olecranon and Coronoid Fractures." Orthopedics 29, no. 3 (2006): 249–53. http://dx.doi.org/10.3928/01477447-20060301-12.

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41

Heiss, C., S. A. Meissner, L. M. Hoesel, J. Pfeil, and R. Schnettler. "Posteromedial Approach to Proximal Tibia for Corticotomy in Callus Distractions." Clinical Orthopaedics and Related Research 451 (October 2006): 182–88. http://dx.doi.org/10.1097/01.blo.0000224053.79001.e5.

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42

Hayashi, Koji, Tsukasa Kumai, and Yasuhito Tanaka. "Endoscopic Resection of a Talocalcaneal Coalition Using a Posteromedial Approach." Arthroscopy Techniques 3, no. 1 (2014): e39-e43. http://dx.doi.org/10.1016/j.eats.2013.08.005.

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43

ANDONOV, Y. "Direct fixation of posterior malleolus fractures-posterolateral or posteromedial approach?" Acta Orthopaedica Belgica 89, no. 3 (2023): 499–506. http://dx.doi.org/10.52628/89.3.11914.

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Ankle fractures involving the posterior malleolus (PM) generally have worse prognosis. There is a trend towards it’s direct fixation, yet the exact indications are a subject of debate. The purpose of our study was to present our treatment protocol and to discuss the advantages and limitations of the direct posterolateral and posteromedial approaches. We present a prospective series of 35 ankle fractures involving the PM, operated for a period of 4 years (2018-2022). Direct posterolateral approach was used in 20 ankles, 15 were operated via a posteromedial approach. Clinical and functional asse

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Sherfudeen, Khaja Mohideen, Sree Kumar E J, Indupriyadarshini Jayapal, Nirmalkumar Sankarlal, Sivagurunathan Jawahar, and Senthil Kumar Kaliannan. "Ultrasound-Guided Parasacral Ischial Plane Block for Lower Limb Surgeries in High-Risk Patients – Comparison of Two Sites of Needle Placement." Journal of Anesthesiology and Reanimation Specialists' Society 33, no. 2 (2025): 119–24. https://doi.org/10.54875/jarss.2025.45403.

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Objective: Parasacral Ischial Plane (PIP) block is a newer ultrasound-guided fascial plane approach to sacral plexus (SP). In the PIP block, the needle is inserted aiming towards the posteromedial surface of the ischium to inject the local anesthetic. Studies have shown PIP block to produce a good sensory block with no or partial motor block. We found that a small change of needle tip towards the end of posteromedial surface of ischium produces a good motor block. Hence, we compared the block characteristics of two sites of needle tip placement in the PIP block. Methods: Thirty patients of ASA

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Şanel, Selim, Serdar Demiröz, and Tamer Coskun. "Low-Energy Trauma-Induced Bilateral Isolated Posteromedial Tibial Plateau Fracture in a Healthy Young Adult: A Case Report." Journal of Orthopaedic Case Reports 13, no. 12 (2023): 63–66. http://dx.doi.org/10.13107/jocr.2023.v13.i12.4080.

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Introduction: Tibial plateau fractures account for average 1% of all fractures in adults. They mostly related to high-energy trauma in young adult and milder traumatic injuries in elderly due to osteoporosis. Case Report: In this case, we reported a 28-year-old male patient who admitted to the emergency room with painful and swollen bilateral knees who had fallen on his knees while playing leapfrog. When his friend jumped on his back, he fell on his knees with the forced flexion and valgus of the knee. Plain radiographs of the knees revealed bilateral posterior tibial plateau fractures. Open r

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Haseli, Sara, Bahar Mansoori, Mehrzad Shafiei, et al. "A Review of Posteromedial Lesions of the Chest Wall: What Should a Chest Radiologist Know?" Diagnostics 12, no. 2 (2022): 301. http://dx.doi.org/10.3390/diagnostics12020301.

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A heterogeneous group of tumors can affect the posteromedial chest wall. They form diverse groups of benign and malignant (primary or secondary) pathologies that can arise from different chest wall structures, i.e., fat, muscular, vascular, osseous, or neurogenic tissues. Chest radiography is very nonspecific for the characterization of chest wall lesions. The modality of choice for the initial assessment of the chest wall lesions is computed tomography (CT). More advanced cross-sectional modalities such as magnetic resonance imaging (MRI) and positron emission tomography (PET) with fluorodeox

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Heyer, Jessica H., Amos Z. Dai, and Donald J. Rose. "Excision of Os Trigonum in Dancers via an Open Posteromedial Approach." JBJS Essential Surgical Techniques 8, no. 4 (2018): e31. http://dx.doi.org/10.2106/jbjs.st.18.00015.

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Dhodapkar, Meera M., Motasem Salameh, and Brad J. Yoo. "Posteromedial approach for the surgical management of posterior talar body fractures." Trauma Case Reports 54 (December 2024): 101099. http://dx.doi.org/10.1016/j.tcr.2024.101099.

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Mukherjee, Soutrik, and Amlan Jyoti Roy. "Presentation, Diagnostic Dilemma, and a Novel Approach of Fixing a Cedell’s Fracture – A Case Report." Journal of Orthopaedic Case Reports 12, no. 12 (2022): 61–65. http://dx.doi.org/10.13107/jocr.2022.v12.i12.3466.

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Introduction: Fractures of the posteromedial tubercle of talus are one of the rarer fractures encountered in clinical practice. They mostly present like an ankle sprain which often leads to missed injuries and delayed diagnosis. We present one such case, incorporating the dilemmas associated with its diagnosis, treatment, approach to the treatment and a novel way of fixation and the outcome. Not much of literature has been published in this regard. Case Report: A 38-year-old Indian military man presented with pain and swelling over posteromedial aspect of his right ankle for 7 days, following

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Mai, Thanh Cong Chien, Thanh Tan Nguyen, Huu Thuyet Nguyen, et al. "INJURED MORPHOLOGY AND SELECT THE CORRESPONDING APPROACH OF POSTERIOR TIBIAL PLATEAU FRACTURES ON COMPUTED TOMOGRAPHY WITH THREE-DIMENSIONAL RECONSTRUCTION." Tạp chí Y Dược học Cần Thơ, no. 8TA (November 25, 2024): 44–50. https://doi.org/10.58490/ctump.2024i8ta.2536.

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Background: Posterior tibial plateau fractures occur when a fall causes the femoral condyle to impact the knee joint while it is in a bent position. This fracture type is not typical among accident cases and normally is relative to high-energy trauma. A computed tomography with a threedimensional knee joint can accurately establish the knee joint performance to evaluate and diagnose articular surface, type of fractures and surgical planning. Objectives: To examine the morphology of posterior tibial plateau fractures using 3D CT scans. To select and determine the appropriate surgical approach f

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