title: Percutaneous fixation of tibial plateau fractures under arthroscopy: a medium term perspective.
abstract: BACKGROUND
  Arthroscopically assisted percutaneous internal fixation has found its place in the treatment of Schatzker I-III tibial plateau fractures, with good short-term results reported. The objective of this study was to observe the progression of osteoarthritis at the medium term through clinical and radiological assessment.
  
  
  METHODS
  Twenty-seven patients were treated with arthroscopy-assisted percutaneous fixation for stage I-III Schatzker tibial plateau fractures.
  
  
  RESULTS
  Twenty-one patients were reviewed with a mean follow-up of 59.5 months (range, 24-138 months); satisfaction was good except for return to sports activity. The mean IKS score was 85.2 for the knee score and 91 for function. The mean Lysholm score was 86 points, with a mean Tegner activity score of 4. A mean score of 25.5 and 8 points was found for the clinical and radiological Rasmussen scores, respectively; 47.6% of the patients presented early osteoarthritis on radiological evaluation.
  
  
  CONCLUSIONS
  The medium-term functional results were comparable to the short-term results. The patients were satisfied except for return to sports activity. Age at surgery appears as a prognostic factor for osteoarthritis.
  
  
  CONCLUSIONS
  Arthroscopic internal fixation remains the technical reference for Schatzker I-III tibial plateau fractures despite the appearance of osteoarthritis, which remains less extensive than in open surgery.
  
  
  METHODS
  Level IV. Retrospective study.
authors.affiliation: Department of Orthopaedics and Traumatology, Dupuytren Teaching Medical Center, 2 avenue Martin-Luther-King, 87042 Limoges, France. juliensiegler@yahoo.fr
authors.forename: J
authors.initials: J
authors.lastname: Siegler
authors.forename: B
authors.initials: B
authors.lastname: Galissier
authors.forename: P-S
authors.initials: PS
authors.lastname: Marcheix
authors.forename: J-L
authors.initials: JL
authors.lastname: Charissoux
authors.forename: C
authors.initials: C
authors.lastname: Mabit
authors.forename: J-P
authors.initials: JP
authors.lastname: Arnaud
mesh_terms: D000293:Adolescent; 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; D012189:Retrospective Studies; D013978:Tibial Fractures / Q000175:diagnosis / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult