PURPOSE: Fractures of the tibial plateau are among the most severe injuries of the knee joint and lead to advanced gonarthrosis if the reduction does not restore perfect joint congruency. Many different reduction techniques focusing on open surgical procedures have been described in the past. In this context we would like to introduce a novel technique which was first tested in a cadaver setup and has undergone its successful first clinical application. METHODS: Since kyphoplasty demonstrated effective ways of anatomical correction in spine fractures, we adapted the inflatable instruments and used the balloon technique to reduce depressed fragments of the tibial plateau. RESULTS: The technique enabled us to restore a congruent cartilage surface and bone reduction. CONCLUSIONS: In this technique we see a useful new method to reduce depressed fractures of the tibial plateau with the advantages of low collateral damage as it is known from minimally invasive procedures.
PURPOSE:Fractures of the tibial plateau are among the most severe injuries of the knee joint and lead to advanced gonarthrosis if the reduction does not restore perfect joint congruency. Many different reduction techniques focusing on open surgical procedures have been described in the past. In this context we would like to introduce a novel technique which was first tested in a cadaver setup and has undergone its successful first clinical application. METHODS: Since kyphoplasty demonstrated effective ways of anatomical correction in spine fractures, we adapted the inflatable instruments and used the balloon technique to reduce depressed fragments of the tibial plateau. RESULTS: The technique enabled us to restore a congruent cartilage surface and bone reduction. CONCLUSIONS: In this technique we see a useful new method to reduce depressed fractures of the tibial plateau with the advantages of low collateral damage as it is known from minimally invasive procedures.
Authors: Kenneth A Egol; Nirmal C Tejwani; Edward L Capla; Philip L Wolinsky; Kenneth J Koval Journal: J Orthop Trauma Date: 2005-08 Impact factor: 2.512
Authors: Gunther H Sandmann; Philipp Ahrens; Christoph Schaeffeler; Jan S Bauer; Chlodwig Kirchhoff; Frank Martetschläger; Dirk Müller; Sebastian Siebenlist; Peter Biberthaler; Ulrich Stöckle; Thomas Freude Journal: Int Orthop Date: 2012-08-24 Impact factor: 3.075
Authors: Georg Mattiassich; Ernst Foltin; Georg Scheurecker; Andreas Schneiderbauer; Albert Kröpfl; Martin Fischmeister Journal: Int Orthop Date: 2013-11-24 Impact factor: 3.075
Authors: Gunther H Sandmann; Sebastian Siebenlist; Florian B Imhoff; Philipp Ahrens; Markus Neumaier; Thomas Freude; Peter Biberthaler Journal: Patient Saf Surg Date: 2016-02-01