BACKGROUND: The aim of our study was to evaluate the results of lateral tibial plateau fractures treated with arthroscopically assisted percutaneous osteosynthesis (AAPO). METHODS: Twenty-one patients (14 men and 7 women) with a mean age of 41 years underwent AAPO to repair low-energy Schatzker I-III tibial plateau fractures. Under pneumatic tourniquet, we reduced and fixed the fracture with 1 or 2 subchondral cannulated screws. Accompanying lesions included 10 meniscus tears, which we partially excised in 9 patients and repaired in 1 patient. On the second postoperative day, patients began range-of-motion exercises. We encouraged partial and full weight-bearing by the sixth and tenth weeks, respectively. The mean follow-up period was 38 (range 12-96) months, and we evaluated the patients using Rasmussen's clinical and radiologic criteria. We used a t test for statistical analysis. RESULTS: There were 13 excellent (62%), 6 good (28%) and 2 fair (10%) clinical results, and 11 excellent (52%), 7 good (33%) and 3 fair (14%) radiologic results. We observed mild or moderate arthritic changes in 5 patients (24%). There were no infection or wound problems, but we removed hardware in 4 patients. CONCLUSION: Arthroscopically assisted treatment of lateral tibial plateau fractures yields satisfactory results and can be accepted as an alternative and effective method for the treatment of low-energy tibial plateau fractures.
BACKGROUND: The aim of our study was to evaluate the results of lateral tibial plateau fractures treated with arthroscopically assisted percutaneous osteosynthesis (AAPO). METHODS: Twenty-one patients (14 men and 7 women) with a mean age of 41 years underwent AAPO to repair low-energy Schatzker I-III tibial plateau fractures. Under pneumatic tourniquet, we reduced and fixed the fracture with 1 or 2 subchondral cannulated screws. Accompanying lesions included 10 meniscus tears, which we partially excised in 9 patients and repaired in 1 patient. On the second postoperative day, patients began range-of-motion exercises. We encouraged partial and full weight-bearing by the sixth and tenth weeks, respectively. The mean follow-up period was 38 (range 12-96) months, and we evaluated the patients using Rasmussen's clinical and radiologic criteria. We used a t test for statistical analysis. RESULTS: There were 13 excellent (62%), 6 good (28%) and 2 fair (10%) clinical results, and 11 excellent (52%), 7 good (33%) and 3 fair (14%) radiologic results. We observed mild or moderate arthritic changes in 5 patients (24%). There were no infection or wound problems, but we removed hardware in 4 patients. CONCLUSION: Arthroscopically assisted treatment of lateral tibial plateau fractures yields satisfactory results and can be accepted as an alternative and effective method for the treatment of low-energy tibial plateau fractures.
Authors: T Ohdera; M Tokunaga; S Hiroshima; E Yoshimoto; J Tokunaga; A Kobayashi Journal: Arch Orthop Trauma Surg Date: 2003-04-29 Impact factor: 3.067
Authors: Kivanc Atesok; M Nedim Doral; Terry Whipple; Gideon Mann; Omer Mei-Dan; O Ahmet Atay; Yiftah Beer; Joseph Lowe; Michael Soudry; Emil H Schemitsch Journal: Knee Surg Sports Traumatol Arthrosc Date: 2010-11-17 Impact factor: 4.342
Authors: Mai P Nguyen; Nicholas P Gannon; Thomas Z Paull; Caitlin Bakker; Sofia Bzovsky; Sheila Sprague; Marc F Swiontkowski Journal: Eur J Orthop Surg Traumatol Date: 2022-07-22
Authors: Iain R McNamara; Toby O Smith; Karen L Shepherd; Allan B Clark; Dominic M Nielsen; Simon Donell; Caroline B Hing Journal: Cochrane Database Syst Rev Date: 2015-09-15