RT Journal Article
SR Electronic
T1 Arthroscopically assisted percutaneous osteosynthesis of lateral tibial plateau fractures
JF Canadian Journal of Surgery
JO CAN J SURG
FD Canadian Medical Association
SP 378
OP 382
VO 51
IS 5
A1 Cemil Kayali
A1 Hasan Öztürk
A1 Taskin Altay
A1 Ali Reisoglu
A1 Haluk Agus
YR 2008
UL http://canjsurg.ca/content/51/5/378.abstract
AB 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.