Inside out rafting K-wire technique for tibial plateau fractures

Yong Cheol Yoon, Jong Keon Oh, Chang Wug Oh, Dipit Sahu, Jin Ho Hwang, Jae Woo Cho

    Research output: Contribution to journalArticlepeer-review

    10 Citations (Scopus)

    Abstract

    With the introduction of 3.5 anatomically pre-shaped plates, the rafting screw technique is gaining popularity in recent years for the management of lateral tibial plateau fractures with articular depression. To gain access to the depressed articular fragments, the split fragment is hinged open laterally. We elevate the depressed articular fragments to the normal level. The defect below is filled with bone graft or its substitutes. We then close the split fragment and apply rafting screws either through the screw holes of the plate or separately above the plate rather in a blind fashion. We therefore cannot be sure that the rafting screws are supporting the specific elevated fragments. For this reason some surgeons place the rafting screws from within and then close the lateral fragment over the screws. This so-called embedded rafting screw technique carries the risk of difficulty in removal, especially in case of an infection. Here we describe the inside out rafting technique to tackle this problem.

    Original languageEnglish
    Pages (from-to)233-237
    Number of pages5
    JournalArchives of Orthopaedic and Trauma Surgery
    Volume132
    Issue number2
    DOIs
    Publication statusPublished - 2012 Feb

    Keywords

    • Rafting K-wires
    • Rafting screws
    • Tibial plateau fractures

    ASJC Scopus subject areas

    • Surgery
    • Orthopedics and Sports Medicine

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