Part II: arthroscopic treatment of tibial plateau fractures: intercondylar eminence avulsion fractures.
Arthroscopic reduction and internal fixation (ARIF) of tibial intercondylar eminence fractures is the emerging state-of-the-art. ARIF is recommended for displaced type III fractures and should be considered for all cases of displaced type II fractures. Fractures without displacement after closed reduction require careful evaluation to rule out meniscal entrapment. Subjective results of ARIF are uniformly excellent, despite reports of objective anteroposterior laxity. Early range-of-motion exercises are essential to prevent loss of extension. Repair using nonabsorbable suture fixation, when of adequate strength to allow early range-of-motion, has the advantages of eliminating the risks of comminution of the fracture fragment, posterior neurovascular injury, and need for hardware removal, compared with ARIF using screws.
Lubowitz
James H
JH
Taos Orthopaedic Institute Research Foundation, Taos, New Mexico 87571, USA.
Elson
Wylie S
WS
Guttmann
Dan
D
D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D001182:Arthroscopy; D006801:Humans; D013978:Tibial Fractures / Q000150:complications / Q000175:diagnosis / Q000601:surgery*