Meniscal detachment to approach lateral XXXX .

@entity1 @entity308 @entity174
This retrospective study evaluated 18 @entity1 in whom an extensile approach to the lateral tibial plateau involving anterior detachment and retraction of the lateral meniscus was used to improve visualization of the tibial articular surface. All @entity1 in this study had a significantly comminuted @entity174 with a minimum articular @entity308 of 10 mm. Four of the 18 @entity1 had peripheral meniscal tears that were repaired at the time of tibial fixation. All @entity1 had a minimum followup of 13 months. The average range of motion was 0 degrees to 117 degrees. None of the @entity1 had evidence of meniscal symptoms. Functional evaluation revealed that 13 of the @entity1 had an excellent result, 5 had a good result, and 1 a poor result. Five @entity1 evaluated with arthroscopy showed complete healing of the anteromedial detachment site of the meniscus. Two of the 5 @entity1 also had a meniscal repair that healed. For @entity1 in whom there is significant comminution and @entity308 of the lateral tibial plateau, this is a safe and effective method of treatment that provides excellent exposure of the articular surface to allow an accurate reduction.
