Tibial plateau fractures can be a challenging injury to manage for orthopaedic surgeons. Management of these fractures has evolved from immobilization, skeletal traction, open reduction, and internal fixation to (all) arthroscopic reduction and internal fixation for some fracture types. Although not all fractures are amenable to arthroscopic reduction and fixation techniques, the arthroscope is still an important instrument for intraarticular diagnostic and treatment purposes. Arthroscopy provides potential advantages over other methods of treatment, by allowing for complete and accurate diagnosis of intraarticular pathology, earlier and better recovery of joint motion, less soft tissue dissection, and anatomic restoration of the joint surface.
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References
Kendall NS, Hsu SYC, Chan K. Fracture of the tibial spine in adults and children. J Bone Joint Surg Br 1992;74:848–852.
Meyers MH, McKeever FM. Fracture of the intercondylar eminence of the tibia. J Bone Joint Surg Am 1959;41:209–222.
Gronkvist H, Hirsch G, Johansson L. Fracture of the anterior tibial spine in children. J Pediatr Orthop 1984;4:465–468.
Wiss DA, Watson JT. Fractures of the tibial plateau. In Rockwood CA, Green DP, Bucholz RW, Heckman JD (eds.), Rockwood and Green’s Fractures in Adults. Philadelphia: Lippincott-Raven, 1996, pp. 1920–1953.
Schatzker J. Tibial plateau fractures. In Browner BD, Jupiter JB, Levine AM, Trafton PG (eds.), Skeletal Trauma. Philadelphia: WB Saunders, 1992, pp. 1745–1770.
Chandler JT, Miller TM. Tibial eminence fracture with meniscal entrapment. Arthroscopy 1995;11:499–502.
Owens BD, Crane GK, Plante T, Busconi BD. Treatment of type III tibial intercondylar eminence fractures in skeletally immature atrhletes. Am J Orthop 2003;33:103–105.
Wiley JJ, Baxter MP. Tibial spine fractures in children. Clin Orthop Relat Res 1990;255:54–60.
Meyers MH, McKeevor FM. Fracture of the intercondylar eminence of the tibia. J Bone Joint Surg Am 1970;52:1677–1683.
Noyes FR, DeLucas JL, Torvik PJ. Biomechanics of anterior cruciate ligament failure; an analysis of strain-rate sensitivity and mechanism of failure in primates. J Bone Joint Surg Am 1974;56:236–153.
Lubowitz JH, Elson WS, Guttman D. Part II: arthroscopic treatment of tibial plateau fractures: intercondylar eminence avulsion fractures. Arthroscopy 2005;21:86–92.
Vangness Ct, Gharderi B, Hohl M, Moore TM. Arthroscopy of meniscal injuries with tibial plateau fractures. J Bone Joint Surg Br 1994;76:488–490.
McClellan RT, Comstock CP. Evaluation and treatment of tibial plateau fractures. Curr Opin Orthop 1999;10:10–21.
Kode L, Lieberman JM, Motta AO, Wilber JH, Vasen A, Ya-gan R. Evaluation of tibial plateau fractures: efficacy of MR imaging compared with CT. AJR Am J Roentgenol 1994;63:141–147.
Yacoubian SV, Nevins RT, Sallis JG, Potter H, Lorich D. Impact of MRI on treatment plan and fracture classification of tibial plateau fractures. J Orthop Trauma 2002;16:632–637.
Holt MD, Williams LA, Dent CM. MRI in the manament of tibial plateau fractures. Injury 1995;26:595–599.
Brophy DP, O’Malley M, Lui D, Denison B, Eustace S. MR imaging of tibial plateau fractures. Clin Radiol 1996;51:873–878.
Mui LW, Engelsohn E, Umans H. Comparison of CT and MRI in patients with tibial plateau fracture: can CT findings predict ligament tear or meniscal injury? Skeletal Radiol 2007;36:245–251.
Zaricznyj B. Avulsion fracture of the tibial eminence treated by open reduction and pinning. J Bone Joint Surg Am 1997;59:1111–1114.
McLennan JG. The role of arthroscopic surgery in the treatment of fractures of the intercondylar eminence of the tibia. J Bone Joint Surg Br 1982;64:477–480.
Falstie-Jensen S, Sondergard Peterson PE. Incarceration of the meniscus in fractures of the intercondylar eminence of the tibia in children. Injury 1984;15:236–238.
Brown TD, Anderson DD, Nepola JV, Singerman, RJ, Pedersen DR, Brandet RA. Contact stress aberrations following imprecise reduction of simple tibial plateau fractures. J Orthop Res 1988;6:851.
Bai B, Kummer FJ, Sala DA, Koval JK, Wolinsky PR. Effect of articular step-off and meniscectomy on joint alignment and contact pressures of fractures of the lateral tibial plateau. J Orthop Trauma 2001;15:101–106.
Walker S, Erkman MJ. The role of the menisci in force transmission across the knee. Clin Orhthop 1975;109:184.
Kettlekamp DB, Hillberry BM, Murrish DE, Da H. Degenerative arthritis of the knee secondary to fracture malunion. Clin Orthop 1988;234:159.
Daniel D, Rice T. Valgus-varus stability in a hinged cast used for controlled mobilization of the knee. J Bone Joint Surg Am 1979;61:135.
DeCoster TA, Nepola JV. Cast brace treatment of proximal tibial plateau fractures: ten year follow-up study. Clin Orthop 1988;231:196.
Delamarter R, Hohl M. The cast brace and tibial plateau fractures. Clin Orthop 1989;242:26.
Cassard X, Beaufils P, Blin JL, Hardy P. Osteosynthesis under arthroscopic control of separated tibial plateau fractures. 26 case reports. Rev Chir Orthop Reparatice Appar Mot 1999;85:257–266.
Lemon RA, Bartlett DH. Arthroscopic assisted internal fixation of certain fractures about the knee. J Trauma 1985;25:355–358.
Buchko GM, Johnson DH. Arthroscopically assisted operative management of tibial plateau fractures. Clin Orthop Relat Res 1996;332:29–36.
Jennings JE. Arthroscopic management of tibial plateau fractures. Arthroscopy 1985;1:160–168.
Gill TJ, Moezzi DM, Oates K, Sterett WI. Arthroscopic reduction and internal fixation of tibial plateau fractures in skiing. Clin Orthop Relat Res 2001;383:243–249.
Lubowitz JH, Elson WS, Guttmann D. Part I: arthroscopic management of tibial plateau fractures. Arthroscopy 2004;20:1063–1070.
Baxter MP, Wiley JJ. Fractures of the tibial spine in children. J Bone Joint Surg Br 1988;70:228–230.
Willis RB, Blokker C, Stoll TM, Paterson DC, Galpin RD. Long-term follow-up of anterior tibial eminence fractures. J Ped Orthop 1993;13:361–364.
Lee Y, Chin L, Wang N, Hou CH, Lo WH. Anterior tibial spine fracture in children: follow-up evaluation by biomechanical studies. Chin Med J 1996;58:183–189.
Beaty JH, Kumar A. Fractures about the knee in children. J Bone Joint Surg Am 1994;76:1870–1880.
Fyfe IS, Jackson JP. Tibial intercondylar fractures in children: a review of the classification and the treatement of malunion. Injury 1981;13:165–169.
Mah JY, Otsuka NY, Mclean J. An arthroscopic technique for the reduction and fixation of tibial-eminence fractures. J Ped Orthop 1996;16:119–121.
Janarv P, Westblad P, Johansson C, Hirsch G. Long-term follow-up of anterior tibial spine fractures in children. J Ped Orthop 1995;15:63–68.
Osti L, Merlo F, Bocchi L. Our experience in the arthroscopic treatment of fracture-avulsion of the tibial spine. Chir Organi Mov 1997;82:295–299.
Matthews DE, Geissler WB. Arthroscopic suture fixation of displaced tibial eminence fractures. Arthroscopy 1994;10:418–423.
Hunter RE, Willis JA. Arthroscopic fixation of avulsion fractures of the tibial eminence: technique and outcome. Arthroscopy 2004;20:113–121.
Lubowitz JH, Grauer JD. Arthroscopic treatment of anterior cruciate ligament avulsion. Clin Orthop Relat Res 1993;294:242–246.
Biyani A, Reddy NS, Chaudhury J, Simison AJ, Klenerman L. The results of surgical management of displaced tibial plateau fractures in the elderly. Injury 1995;26:291.
Honkonen SE, Kannus P, Natri A, Latvala K, Jarvinen MJ. Isokinetic performance of the thigh muscles after tibial plateau fractures. Int Orthop 1997;21:323.
Benirschke SK, Agner SG, Mayo KA, et al. Open reduction internal fixation of complex proximal tibial fractures. J Orthop Trauma 1991;5:236.
Smith JB. Knee instability after fractures of the intercondylar eminence of the tibia. J Ped Orthop 1984;4:462–464.
Senekovic V, Veselko M. Anterograde arthroscopic fixation of avulsion fractures of the tibial eminence with a cannulated screw: five-year results. Arthroscopy 2003;19:54–61.
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Mortimer, S., Hunter, R. (2009). Arthroscopic Treatment of Knee Fractures. In: Richmond, J., Bono, J., McKeon, B. (eds) Knee Arthroscopy. Springer, New York, NY. https://doi.org/10.1007/978-0-387-89504-8_11
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