Balloon osteoplasty--a new technique for reduction and stabilisation of impression fractures in the tibial plateau: a cadaver study and first clinical application.
OBJECTIVE
Fractures of the tibial plateau are among the most severe injuries of the knee joint and lead to advanced gonarthrosis if the reduction does not restore perfect joint congruency. Many different reduction techniques focusing on open surgical procedures have been described in the past. In this context we would like to introduce a novel technique which was first tested in a cadaver setup and has undergone its successful first clinical application.


METHODS
Since kyphoplasty demonstrated effective ways of anatomical correction in spine fractures, we adapted the inflatable instruments and used the balloon technique to reduce depressed fragments of the tibial plateau.


RESULTS
The technique enabled us to restore a congruent cartilage surface and bone reduction.


CONCLUSIONS
In this technique we see a useful new method to reduce depressed fractures of the tibial plateau with the advantages of low collateral damage as it is known from minimally invasive procedures.
Department Traumatology, Technical University, Ismaningerstr 22, 81675 Munich, Germany. ph.ahrens@gmail.com
Philipp
P
Ahrens
Gunther
G
Sandmann
Jan
J
Bauer
Benjamin
B
König
Frank
F
Martetschläger
Dirk
D
Müller
Sebastian
S
Siebenlist
Chlodwig
C
Kirchhoff
Markus
M
Neumaier
Peter
P
Biberthaler
Ulrich
U
Stöckle
Thomas
T
Freude
D000368:Aged; D017760:Bone Malalignment / Q000000981:diagnostic imaging / Q000601:surgery*; D002102:Cadaver; D060826:Cementoplasty / Q000379:methods*; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D057072:Intra-Articular Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D008953:Models, Anatomic; D011859:Radiography; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome