title: Arthroscopic-assisted reduction and percutaneous fixation of tibial plateau fractures.
abstract: Tibial plateau fractures present a difficult range of fractures to treat. Arthroscopy allows for a less invasive option when compared with arthrotomy. Furthermore, visualization of the articular surface arthroscopically can allow for a precise reduction and assessment of any concomitant injuries to the articular cartilage and meniscus. By use of arthroscopy, unicondylar lateral plateaus were traditionally approached through a laterally based metaphyseal window. However, in carefully selected patients and fracture patterns, a medially based, arthroscopic-assisted approach can create long bony tunnels for subchondral support and allow for greater ease in fracture reduction. We present our technique using a medial approach for arthroscopic-assisted fixation of lateral tibial plateau fractures.
authors.affiliation: Mayo Clinic, Rochester, Minnesota, U.S.A.
authors.forename: David E
authors.initials: DE
authors.lastname: Hartigan
authors.affiliation: Mayo Clinic, Rochester, Minnesota, U.S.A.
authors.forename: Mark A
authors.initials: MA
authors.lastname: McCarthy
authors.affiliation: Mayo Clinic, Rochester, Minnesota, U.S.A.
authors.forename: Aaron J
authors.initials: AJ
authors.lastname: Krych
authors.affiliation: Mayo Clinic, Rochester, Minnesota, U.S.A.
authors.forename: Bruce A
authors.initials: BA
authors.lastname: Levy