Arthroscopically assisted fixation of tibial plateau fractures

2020 ◽  
Vol 17 (3) ◽  
pp. 28-32
Author(s):  
Rohit rameshchandra Kakani ◽  
Keyword(s):  
Tibial Plateau ◽  
Tibial Plateau Fractures ◽  
Arthroscopically Assisted

scholarly journals Arthroscopically assisted evaluation of frequency and patterns of meniscal tears in operative tibial plateau fractures: a retrospective study

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Xiangtian Deng ◽  
Hongzhi Hu ◽  
Yuchuan Wang ◽  
Decheng Shao ◽  
Yingze Zhang
Keyword(s):  
Tibial Plateau ◽  
Tibial Plateau Fractures ◽  
Meniscal Tears ◽  
Time Of Surgery ◽  
Fracture Patterns ◽  
Significant Difference ◽  
Schatzker Classification ◽  
The Status ◽  
Arthroscopically Assisted ◽  
Arthroscopic Examination

Abstract Background Despite tibial plateau fractures are often associated with meniscal tears, the association between meniscal tears and Schatzker classification remains unclear. The purpose of this study was to assess the frequency and patterns of meniscal tears in operatively treated tibial plateau fractures following immediate arthroscopic evaluation after internal fixation of tibial plateau fractures and to reveal the association between these concomitant meniscal tears and Schatzker classification. Methods A total of 252 consecutive patients (166 males and 86 females, mean age 46.7 (19–80) years) with operatively treated tibial plateau fractures admitted to our hospital from January 2016 to May 2019 were performed. Arthroscopic examination for frequency and patterns of meniscal tears was evaluated and documented at the time of surgery, and the association between the frequency and patterns of meniscal tears with Schatzker classification was then analyzed. Results The overall frequency of meniscal tears in TPFs was 67% (168 of 252) with 33% (84 of 252) of these being lateral meniscal tears, and 10% (26 of 252) medial meniscal tears, while 23% (58 of 252) had bilateral meniscal tears. Schatzker II was most commonly associated with meniscal tears, occurring in 72% (71 of 99) of our series. There is no significant difference between the frequency of meniscal tears and Schatzker classification (p > 0.05). The most common patterns of meniscal tears were longitudinal tears in 23% of tibial plateau fractures (59 of 252), and it occurred at a significantly higher frequency in Schatzker II with 43% (43 of 99). Schatzker IV had significantly higher prevalence of bucket-handle tears than other fracture patterns (p < 0.05), and Schatzker VI fractures had significantly higher prevalence of complex tears than other fracture patterns (p < 0.05). For other Schatzker classification, the patterns of meniscal tears demonstrated no statistical difference (p > 0.05). Conclusion The results identified that meniscal tears are commonly seen in each Schatzker classification. Although various patterns of meniscal tears occurred in tibial plateau fractures, the most common patterns were longitudinal tears. Importantly, we suggest that the status of meniscal tears associated with TPFs should be considered at the time of surgery in addition to fracture fixation.

Arthroscopically Assisted Fixation of the Tibial Plateau Fractures

2018 ◽  
Vol 06 (01) ◽  
Author(s):  
Konstantinos Tilkeridis ◽  
Georgios Kiziridis ◽  
Stylianos Tottas ◽  
Ioannis Kougioumtzis ◽  
Georgios Riziotis ◽  
...  
Keyword(s):  
Tibial Plateau ◽  
Tibial Plateau Fractures ◽  
Arthroscopically Assisted

Arthroscopically Assisted Osteosynthesis for Tibial Plateau Fractures

2003 ◽  
Vol 54 (2) ◽  
pp. 356-363 ◽  
Author(s):  
Shuo S. Hung ◽  
En-Kai Chao ◽  
Yi-Sheng Chan ◽  
Li-Jen Yuan ◽  
Peter C.-H. Chung ◽  
...  
Keyword(s):  
Tibial Plateau ◽  
Tibial Plateau Fractures ◽  
Arthroscopically Assisted ◽  
Arthroscopically Assisted Osteosynthesis

scholarly journals Arthroscopically assisted treatment for Schatzker type I-V tibial plateau fractures

2008 ◽  
Vol 11 (5) ◽  
pp. 288-292 ◽  
Author(s):  
Xiao-jun DUAN ◽  
Liu YANG ◽  
Lin GUO ◽  
Guang-xing CHEN ◽  
Gang DAI
Keyword(s):  
Tibial Plateau ◽  
Tibial Plateau Fractures ◽  
Type I ◽  
Schatzker Type ◽  
Arthroscopically Assisted

scholarly journals Solving the enigma of posterolateral tibial plateau fractures, the clue protocol

2021 ◽  
Vol 87 (1) ◽  
pp. 125-136
Author(s):  
Radwan G Metwaly ◽  
Zeiad M Zakaria ◽  
Mohamed A Elgebeily ◽  
Hany El Zahlawy
Keyword(s):  
Tibial Plateau ◽  
Soft Tissue Injuries ◽  
Common Peroneal Nerve ◽  
Functional Results ◽  
Deep Infection ◽  
Tibial Plateau Fractures ◽  
Academic Center ◽  
Peroneal Nerve Injury ◽  
Arthroscopically Assisted

The study aim is to evaluate functional and radio- logical outcomes following a suggested protocol based on the four-column classification for management of posterolateral column tibial plateau fractures. A prospective cohort study was performed in level I academic center on 42 patients with mean age of 36 years (22-59). Eleven patients had isolated posterolateral column fractures whereas 31 patients had associated columns fractures. According to the suggested protocol, all cases of isolated posterolateral column fracture started treatment via arthroscopic evaluation of soft tissue injuries (menisci and liga- ments), arthroscopically assisted reduction and inter- nal fixation by rafting screws followed by ORIF if plating was needed. If associated with other columns fractures, columns were fixed sequentially in an anti-clockwise direction starting from anteromedial column. Average follow up was 26 months. Mean time to union was 16.3 (12-22) weeks. No radiological evidence of loss of coronal or sagittal alignment was detected at final follow up. Five patients had an average depression of 5 millimeters that did not need further intervention at this short-term follow up. Mean KOOS was 81 (72- 88). The average knee range of motion was (0° - 127°). One patient had temporary common peroneal nerve injury, one patient had deep infection and two had superficial wound infection. implementing the suggested protocol gives good to excellent radiological and functional results as regard posterolateral tibial plateau fracture. A larger study group with longer follow up is needed.

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