Arthroscopic management of tibial plateau fractures—comparison with open reduction method
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Arthroscopic treatment of tibial plateau fractures were compared with open traditional methods retrospectively.
Twenty-eight patients were included in this comparative study based on fracture patterns and divided into two groups. Using Schatzker's classification system, patients with type II (split depression), type III (isolated depression) fractures, or other fracture types were included. Nineteen of these patients were treated by arthroscopically assisted management (group S), and the remaining 9 underwent the conventional open method (group O).
There was no significant difference between both groups in terms of duration of operation, postoperative flexion, and clinical results. In group S, however, the postoperative rehabilitation was easier and faster (the time to obtain 120° of flexion was 4.6±3.9 weeks in group S, 9.1±8.6 weeks in group O). Furthermore, 16 of 19 patients (84%) in group S obtained an anatomical reduction (defined as <2 mm of residual displacement after surgery), whereas in group O, only 5 of 9 patients (55%) had an anatomical reduction. Also, accurate diagnosis and treatment of any associated joint pathology was possible with arthroscopic management.
The arthroscopic procedure is recommended in selected tibial plateau fractures.
KeywordsTibial plateau fracture Arthroscopic management Associated joint pathology Fluoroscopic control Comparison with open method
- 5.Carr DE (1991) Arthroscopically assisted stabilization of tibial plateau fractures. Techniques Orthop 6:55–57Google Scholar
- 10.Hohl M (1991) Part 1. Fractures of the proximal tibia and fibula. In: Rockwood C, Green D, Bucholz R (eds) Fractures in adults, 3rd edn. JB Lippincott, PhiladelphiaGoogle Scholar
- 15.Perry CR et al (1984) A new surgical approach to fractures of the lateral tibial plateau. J Bone Joint Surg Am 66:1263–1240Google Scholar
- 16.Reiner MJ (1982) The arthroscope in the tibial plateau fractures. J AOA 81:704–707Google Scholar