Abstract
Tibial plateau fractures in 17 patients were managed arthroscopically, using interporous hydroxypatite (HA) as a bone graft substitute. Soft-tissue repair and intra-articular lavages were carried out arthroscopically, and depression of the articular surface was done by elevation of the subchondral plate by the bone compactor through a small window under image intensification and filling with HA through the tibial outer rim. Follow-up periods averaged 2 years and 6 months. According to roentgenograms and computed tomograms no development of arthrosis could be found. All of the patients have been followed to fracture union and have returned to their previous activity levels.
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Bucholz RW et al. (1989) Interporous hydroxyapatite as a bone graft substitute in tibial plateau fractures. Clin Orthop 240:53–62
Caspari RB, Jutton PM, Whipple TL, Myers JF (1985) The role of arthroscopy in the management of tibial plateau fractures. Arthroscopy 1:76–82
Hohl M (1975) Treatment methods in tibial condylar fractures. South Med J 68:985
Hohl M, Luck JV (1956) Fractures of the tibial condyle; a clinical and experimental tibial study. J Bone Joint Surg [Am] 38:1001–1018
Itokazu M (1988) Use of arthroscopy in the treatment of tibial plateau fractures. Jpn J Seikeigeka 39:1415–1422
Jennings JE (1985) Arthroscopic management of tibial plateau fractures. Arthroscopy 1:160–168
Moore TM, Harvey P (1974) Roentgenographic measurement of tibial plateau depression due to fractures. J Bone Joint Surg [Am] 56:155–160
O'Dwyer KJ, Bobic VR (1992) Arthroscopic management of tibial plateau fractures. Injury 23:261–263
Reiner MJ (1982) The arthroscope in tibial plateau fractures; its use in evaluation of soft tissue and bony injury. J Am Osteopath Assoc 81:704–707
Slater RB, Simmonds DF, Malcolm BW (1980) The biological effects of continuous passive motion on the healing of full thickness defects in articular cartilage: an experimental investigation in the rabbit. J Bone Joint Surg [Am] 62:12–32
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Itokazu, M., Matsunaga, T., Ishii, M. et al. Use of arthroscopy and interporous hydroxyapatite as a bone graft substitute in tibial plateau fractures. Arch Orthop Trauma Surg 115, 45–48 (1996). https://doi.org/10.1007/BF00453217
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DOI: https://doi.org/10.1007/BF00453217