Arthroscopic Reduction and Internal Fixation of Tibial Plateau Fractures in Skiing
- 1 February 2001
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health)
- Vol. 383 (383), 243-249
- https://doi.org/10.1097/00003086-200102000-00028
Abstract
Arthroscopic reduction and internal fixation of tibial plateau fractures can facilitate restoration of articular congruity while permitting rigid fracture stabilization. Twenty-five patients who underwent arthroscpoic reduction and internal fixation of a tibial plateau fracture were reviewed. The average age of the patients was 45. At a mean followup of 24 months, 76% of patients rated their result as excellent and 16% as good. Eighty-four percent returned to full sporting activity. There were no episodes of nonunion, failure of fixation, wound infection, deep venous thrombosis, compartment syndrome, or arthrofibrosis. Preoperative fracture depression averaged 7.7 mm (range, 1–18 mm). Fracture depression at final followup averaged 0.8 mm (range, 0–5 mm). Sixty-four percent of patients had associated intraarticular injury diagnosed and treated at the time of arthroscopy. Arthroscopic reduction and internal fixation provides an accurate assessment of, and allows definitive treatment for, intraarticular injuries associated with tibial plateau fractures. The technique allows less soft tissue stripping than with traditional arthrotomy, better visualization of the articular surface, early return to physical activities, and obviates the need for meniscal detachment and repair.Keywords
This publication has 8 references indexed in Scilit:
- Arthroscopy Assisted Operative Management of Tibial Plateau FracturesPublished by Ovid Technologies (Wolters Kluwer Health) ,1996
- Arthroscopically Assisted Treatment of Lateral Tibial Plateau Fractures in Skiers: Use of a Cannulated Reduction SystemJournal of Orthopaedic Trauma, 1994
- The role of arthroscopy in the assessment and treatment of tibial plateau fracturesArthroscopy: The Journal of Arthroscopic & Related Surgery, 1993
- Arthroscopic restoration of depressed tibial plateau fractures using bone and hydroxyapatite graftsArthroscopy: The Journal of Arthroscopic & Related Surgery, 1993
- The role of arthroscopy in the management of tibial plateau fracturesArthroscopy: The Journal of Arthroscopic & Related Surgery, 1985
- Arthroscopic management of tibial plateau fracturesArthroscopy: The Journal of Arthroscopic & Related Surgery, 1985
- Arthroscopic Assisted Internal Fixation of Certain Fractures about the KneeJournal Of Trauma-Injury Infection and Critical Care, 1985
- Tibial Condylar FracturesThe Journal of Bone & Joint Surgery, 1973