Affordable Access

Publisher Website

Arthroscopic-assisted reduction with bilateral buttress plate fixation of complex tibial plateau fractures

Authors
Journal
Arthroscopy The Journal of Arthroscopic and Related Surgery
0749-8063
Publisher
Elsevier
Publication Date
Volume
19
Issue
9
Identifiers
DOI: 10.1016/j.arthro.2003.09.038
Keywords
  • Original Article
Disciplines
  • Medicine

Abstract

Abstract Purpose: Our aim was to determine the outcome of arthroscopic-assisted reduction with bilateral buttress plate fixation for the treatment of closed complex tibial plateau fractures. Type of Study: Case series. Methods: 18 consecutive patients (12 men, 6 women) with complex tibial plateau fractures were enrolled in this prospective study. All patients underwent arthroscopic-assisted bilateral buttress plate fixation of closed complex tibial plateau fractures. The average age at operation was 35 years (range, 23 to 45 years). The follow-up period ranged from 39 to 69 months, with an average of 48 months. Using the Schatzker classification, there were 11 type V and 7 type VI fractures. The clinical and radiological outcomes were determined according to Rasmussen’s system. Results: All of the 18 fractures united. Overall, 4 (22%) patients were rated as excellent, 12 (67%) good, and 2 (11%) fair. Secondary osteoarthritis appeared in 3 injured knees (16.7%). One patient had a wound dehiscence (3 cm long) of the medial incision. Condylar joint surface depression was noted in 3 patients without functional instability. Two patients had valgus alignment between 10° and 15°. Two patients had the paresthesia over the lateral calf. There were no complications directly associated with arthroscopy in any of the 18 patients. No deep vein thrombosis, infection, or knee stiffness was found at final follow-up. Conclusions: Arthroscopic-assisted reduction with bilateral buttress plate fixation for complex tibial plateau fractures allows accurate fracture reduction, diagnosis, and treatment of associated intra-articular lesions, and less dissection than open reduction internal fixation.

There are no comments yet on this publication. Be the first to share your thoughts.

Statistics

Seen <100 times
0 Comments

More articles like this

Arthroscopic-assisted reduction with bilateral but...

on Arthroscopy : the journal of a... November 2003

Arthroscopically assisted reduction and internal f...

on Acta orthopaedica Belgica June 2002

Arthroscopic reduction and internal fixation (ARIF...

on Knee Surgery Sports Traumatolo... May 2001

Arthroscopic reduction and internal fixation of ti...

on Clinical Orthopaedics and Rela... February 2001
More articles like this..