scholarly journals Combined Intraoperative Arthroscopic and Fluoroscopic Guided Reduction of a Lateral Tibial Plateau Fracture Using Minimally Invasive Metaphyseal and Intraarticular Fixation: Description of a Surgical Technique

Cureus ◽  
2021 ◽  
Author(s):  
Waleed Albishi ◽  
Abdulrahman M Alsharidah ◽  
Abdullah Alkhuraiji ◽  
Zaheer Dalati ◽  
Hisham Alsanawi
Keyword(s):  
Surgical Technique ◽  
Minimally Invasive ◽  
Tibial Plateau ◽  
Tibial Plateau Fracture ◽  
Lateral Tibial Plateau ◽  
Plateau Fracture

scholarly journals Comparative evaluation of minimally invasive ‘tibial tuberoplasty’ surgical technique versus conventional open surgery for Schatzker II–III tibial plateau fractures: design of a multicentre, randomised, controlled and blinded trial (TUBERIMPACT study)

BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e026962
Author(s):  
Tanguy Vendeuvre ◽  
Olivier Monlezun ◽  
Claire Brandet ◽  
Pierre Ingrand ◽  
Isabelle Durand-Zaleski ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Minimally Invasive ◽  
Open Surgery ◽  
Tibial Plateau ◽  
Tibial Plateau Fracture ◽  
Tibial Plateau Fractures ◽  
Plateau Fracture ◽  
Randomised Controlled ◽  
Conventional Open Surgery

IntroductionFractures of the tibial plateau are in constant progression. They affect an elderly population suffering from a number of comorbidities, but also a young population increasingly practicing high-risk sports. The conventional open surgical technique used for tibial plateau fractures has several pitfalls: bone and skin devascularisation, increased risks of infection and functional rehabilitation difficulties. Since 2011, Poitiers University Hospital is offering to its patients a new minimally invasive technique for the reduction and stabilisation of tibial plateau fractures, named ‘tibial tuberoplasty’. This technique involves expansion of the tibial plateau through inflation using a kyphoplasty balloon, filling of the fracture cavity with cement and percutaneous screw fixation. We designed a study to evaluate the quality of fracture reduction offered by percutaneous tuberoplasty versus conventional open surgery for tibial plateau fracture and its impact on clinical outcome.Methods and analysisThis is a multicentre randomised controlled trial comparing two surgical techniques in the treatment of tibial plateau fractures. 140 patients with a Schatzker II or III tibial plateau fracture will be recruited in France. They will be randomised either in tibial tuberoplasty arm or in conventional surgery arm. The primary outcome is the postoperative radiological step-off reduction blindly measured on CT scan (within 48 hours post-op). Additional outcomes include other radiological endpoints, pain, functional abilities, quality of life assessment and health-economic endpoints. Outcomes assessment will be performed at baseline (before surgery), at day 0 (surgery), at 2, 21, 45 days, 3, 6, 12 and 24 months postsurgery.Ethics and disseminationThis study has been approved by the ethics committee Ile-De-France X and will be conducted in accordance with current Good Clinical Practice (GCP) guidelines, Declaration of Helsinki and standard operating procedures. The results will be disseminated through presentation at scientific conferences and publication in peer-reviewed journals.Trial registration numberClinicaltrial.gov:NCT03444779.

scholarly journals Arthroscopic assisted fixation of central depressed lateral tibial plateau fracture: case report

2020 ◽  
Vol 6 (3) ◽  
pp. 649
Author(s):  
Vijay Shankar ◽  
Shyam Sundar ◽  
David V. Rajan
Keyword(s):  
Anterior Cruciate Ligament ◽  
Gold Standard ◽  
Bone Substitute ◽  
Tibial Plateau ◽  
Tibial Plateau Fracture ◽  
Cruciate Ligament ◽  
Calcium Hydroxyapatite ◽  
Lateral Tibial Plateau ◽  
Plateau Fracture ◽  
Anterior Cruciate

<p>Arthroscopic assisted fixation has become the gold standard for managing Schatzker III tibial plateau fractures. There are different techniques available to reduce and fix the central depression. We present one such case of a 41 years old female who had good outcome following arthroscopic assisted fixation using anterior cruciate ligament guide, dilators and calcium hydroxyapatite bone substitute.</p>

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