Arthroscopically assisted osteosynthesis for tibial plateau fractures.
BACKGROUND
Options for management of tibial plateau fracture are numerous, and the outcome depends on several factors. With the inherent advantages of arthroscopy, the results of tibial plateau fracture have been greatly improved.


METHODS
Thirty-one patients were treated with arthroscopically assisted reduction for tibial plateau fracture, with an average follow-up period of 3 years. Evaluations were performed with the Hospital for Special Surgery knee score clinically, and with the Ahlbäck scale for osteoarthritis radiographically.


RESULTS
Eighty percent of cases were Schatzker type II, III, or IV, and over half (52%) of the patients had concomitant intra-articular lesions. Twenty-nine patients (93.5%) had satisfactory results according to the Hospital for Special Surgery knee score, and only one patient developed degenerative arthritis during the period of follow-up.


CONCLUSIONS
The arthroscopically assisted reduction of tibial plateau fracture is a safe and promising procedure. The results are comparable to traditional methods of open reduction.
Hung
Shuo S
SS
Department of Orthopedic Surgery, Chang Gung Memorial Hospital, Kweishan, Taoyuan, Taiwan.
Chao
En-Kai
EK
Chan
Yi-Sheng
YS
Yuan
Li-Jen
LJ
Chung
Peter C-H
PC
Chen
Chao-Yu
CY
Lee
Mel S
MS
Wang
Ching-Jen
CJ
D000328:Adult; D000368:Aged; D001182:Arthroscopy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D011859:Radiography; D013978:Tibial Fractures / Q000145:classification / Q000000981:diagnostic imaging / Q000601:surgery*