Arthroscopically assisted treatment of lateral tibial plateau fractures in skiers: use of a cannulated reduction system.
A prospective study was performed on 16 patients with lateral tibial plateau fractures. All injuries were associated with alpine or cross-country skiing. Included in the study were those patients with an articular surface depression of > or = 2 mm with radiographic findings consistent with the AO/ASIF classification of tibial plateau fractures (41 B2.2/B3.1). A combined procedure was performed with arthroscopic visualization of the knee joint and utilization of a cannulated plateau elevator. All fractures were reduced with this device with subsequent autogenous bone graft and, when indicated, transverse cancellous lag screw fixation. Follow-up was 1-6.5 years for the 16 patients, with all but two reporting resumption of activity to preinjury levels.
Davos Hospital, Switzerland.
P
P
Holzach
P
P
Matter
J
J
Minter
D000328:Adult; D000368:Aged; D020679:Arthroscopes; D001182:Arthroscopy / Q000379:methods; D001863:Bone Screws; D016025:Bone Transplantation / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011859:Radiography; D012865:Skiing / Q000293:injuries*; D013978:Tibial Fractures / Q000145:classification / Q000000981:diagnostic imaging / Q000601:surgery*