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Arthroscopic-assisted Reduction and Percutaneous Fixation of Tibial Plateau Fractures

Overview
Journal Arthrosc Tech
Publisher Elsevier
Date 2015 May 15
PMID 25973374
Citations 11
Authors
David E Hartigan
Mark A McCarthy
Aaron J Krych
Bruce A Levy
Affiliations
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Abstract

Tibial plateau fractures present a difficult range of fractures to treat. Arthroscopy allows for a less invasive option when compared with arthrotomy. Furthermore, visualization of the articular surface arthroscopically can allow for a precise reduction and assessment of any concomitant injuries to the articular cartilage and meniscus. By use of arthroscopy, unicondylar lateral plateaus were traditionally approached through a laterally based metaphyseal window. However, in carefully selected patients and fracture patterns, a medially based, arthroscopic-assisted approach can create long bony tunnels for subchondral support and allow for greater ease in fracture reduction. We present our technique using a medial approach for arthroscopic-assisted fixation of lateral tibial plateau fractures.

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