الفهرس 
Surgical anat?myOnly 14 pages are availabe for public view
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Abstract
Purpose: the aim of this study was to evaluate the functional outcome of the knees when posterior approaches is utilized for tibial plateau fractures whether alone or combined with other approaches sequentially or staged for complex tibial plateau fractures with posterior involvement.
Methods: This study included twenty seven consecutive patients with tibial plateau fractures involving the posterior column. Cases underwent Lobenhoffer approach for the posteromedial fragment with or without anterolateral approach. Patients were evaluated radiologically immediately postoperative, at 3, 6, 12, 18 months by serial anteroposterior and lateral X- rays of knee.
Results: The cases were 4 females and 23 males, with age range between18-46 years.
Using the knee society score (KSS) and functional knee score parameters results showed that 7.4% of the patients had Knee society score (KSS) of 70, 18.5% of the patients had a score of 75, while 29.6% of the patients had a score of 80, only 3.7% of the patients had a score of 85; in addition to 11.1% of the patients had a score of 90, 3.7% of the patients had a score of 95, and 25.9% of the patients had a score of 100.
Conclusion:
Posterior approaches to tibial plateau fractures whether alone or combined with other approaches was associated with good outcomes along the duration of postoperative follow up and should be advised for management of tibial plateau fractures.