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Comparison of outcome of ARIF and ORIF in the treatment of tibial plateau fractures

  • Knee
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

The purpose of this study is to explore whether arthroscopically assisted reduction and internal fixation (ARIF) is superior to traditional open reduction and internal fixation (ORIF) in the treatment of tibial plateau fractures.

Methods

Fifty-seven patients with tibial plateau fractures (Schatzker type I–IV) treated by ARIF or ORIF from 2010 to 2013 were included in this retrospective study. All patients received pre-operative radiographs and CT scans. The patients were divided into two groups (ARIF or ORIF). All had a minimum follow-up of 24 months and an average follow-up of 44.4 months. The clinical and radiographic outcomes were evaluated according to the Rasmussen and KSS scores.

Results

There was no significant difference in KSS score or Rasmussen clinical score between the two groups. The average Rasmussen radiographic score was 14.1 (SD 2.4, range 10–18), for the ARIF group and 14.9 (SD 2.3, range 10–18) for the ORIF group (p < 0.05). Meniscal lesions were found in 12 knees in group ARIF.

Conclusions

Both ARIF and ORIF yielded satisfactory clinical results for the treatment of Schatzker I–IV tibial plateau fractures. ARIF led to better radiological results than ORIF. Concomitant intra-articular soft tissue lesions are common and can be addressed during ARIF.

Level of evidence

III.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, The 1st Affiliated Hospital of Soochow University, Suzhou, 215000, Jiangsu, China

    Zhen Wang & Yaozeng Xu

  2. Department of Orthopaedics, Suzhou Kowloon Hospital Shanghai Jiao Tong University School of Medicine, Suzhou, 215006, Jiangsu, China

    Zhen Wang, Zhibing Tang, Chaoqun Liu & Jinlian liu

Authors
  1. Zhen Wang
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  2. Zhibing Tang
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  3. Chaoqun Liu
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  4. Jinlian liu
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  5. Yaozeng Xu
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Correspondence to Yaozeng Xu.

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The authors declare that they have no conflict of interest.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Wang, Z., Tang, Z., Liu, C. et al. Comparison of outcome of ARIF and ORIF in the treatment of tibial plateau fractures. Knee Surg Sports Traumatol Arthrosc 25, 578–583 (2017). https://doi.org/10.1007/s00167-016-4285-9

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  • DOI: https://doi.org/10.1007/s00167-016-4285-9

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