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General
intermediate
X-Type

Tibia Posterolateral Approach - Anatomy and Peroneal Nerve Protection

Lower Limb Approaches

A 48-year-old man sustains a tibial plateau fracture with a posterolateral split-depression fragment following a motorcycle accident. CT scan confirms a posterolateral column fracture (Luo column classification) requiring direct posterior plating. The orthopaedic surgeon plans a posterolateral approach to the proximal tibia. Regarding the posterolateral approach to the tibia:

Mark each as TRUE or FALSE

A

The posterolateral approach uses the interval between the LATERAL HEAD OF GASTROCNEMIUS (tibial nerv...

B

The COMMON PERONEAL NERVE is the critical structure at risk; it winds around the FIBULAR NECK approx...

C

The posterolateral approach provides access to the ANTEROMEDIAL tibial plateau; the common peroneal ...

D

PATIENT POSITIONING is typically PRONE or LATERAL DECUBITUS with the affected side up; the incision ...

E

INDICATIONS include: posterolateral tibial plateau fractures (Luo posterolateral column), fibular he...

Answer the questions to see explanations

Click T (True) or F (False) for each option