A Modified Semi-Lithotomy Position for Approach to Tibial Plateau Complex Fractures: A Technical Note

Document Type : TECHNICAL NOTE


1 1 Bone and Joint Disease Research Center, Shiraz University of Medical Sciences, Shiraz, Iran. 2 Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.

2 Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran

3 Department of Orthopaedic and Trauma Surgery, Fundacion Santa Fe de Bogotá, Universidad de los Andes, Colombia

4 Vali-e-Asr Hospital, Arak University of Medical Sciences, Arak, Iran


There is no agreement on the best surgical strategy to manage multicolumnar tibial plateau fracture. The combined 
approach used by many investigators has been found to be an effective method. However, combined approaches call 
for repositioning the patient which lengthens the operation time. The sterility of the field of surgery might be jeopardized 
by repositioning. Intraoperative fluoroscopic imaging is hard to adjust to both parts of the combined positions. To tackle 
these problems without sacrificing the concept of three-column tibial plateau, we have started to use a combined medial 
and lateral approach without repositioning the patients using a modified semi-lithotomy position. 
Level of evidence: V


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