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Optimizing the Management of Moore Type I Postero-Medial Split Fracture Dislocations of the Tibial Head: Description of the Lobenhoffer Approach

Fakler, Johannes K M MD*; Ryzewicz, Mark MD; Hartshorn, Cody MD; Morgan, Steven J MD; Stahel, Philip F MD; Smith, Wade R MD

Journal of Orthopaedic Trauma: May 2007 - Volume 21 - Issue 5 - p 330-336
doi: 10.1097/BOT.0b013e318055603c
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Summary: Moore type I tibial plateau fracture-dislocations pose a significant challenge to the treating surgeon. The displaced posteromedial fragment is difficult to reduce and adequately stabilize through traditional approaches. The Lobenhoffer approach provides the necessary access to the posterior surface of the proximal tibia but has only been described in the German-language literature. It involves a less extensive soft tissue dissection than that required by other posterior approaches. We provide the first English-language description of the technique, with 2 cases presented as illustrations of the approach.

From the *Department of Trauma and Reconstructive Surgery, Charité University Medical School, Campus Benjamin Franklin, 12200 Berlin, Germany; and †Department of Orthopaedic Surgery, Denver Health Medical Center, University of Colorado School of Medicine, Denver, CO 80204, USA.

Accepted for publication February 26, 2007.

Correspondence: Mark Ryzewicz, MD, Department of Orthopaedic Surgery, Denver Health Medical Center, University of Colorado School of Medicine, 777 Bannock Street, Denver, CO 80204 (e-mail: Mark_Ryzewicz@hotmail.com).

© 2007 Lippincott Williams & Wilkins, Inc.