Arthroscopy-Assisted Reduction of Posteromedial Tibial Plateau Fractures With Buttress Plate and Cannulated Screw Construct

Chiu, Chih‐Hao; Cheng, Chun‐Ying; Tsai, Min-Chain; Chang, Shih-Ying; Chen, Alvin Chao‐Yu; Chen, Yeung-Jen; Chan, Yi‐Sheng

doi:10.1016/j.arthro.2013.05.003

Cited by 49 publications

(63 citation statements)

References 26 publications

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“…Secondary osteoarthritis was noted in 6 injured knees (24%). No complications directly associated with arthroscopy were noted in any of the 25 patients (100%) [36].…”

Section: Levy Et Al (2008) Published Their Mid-to Long-term Resultsmentioning

confidence: 99%

“…Despite the small amount of studies comparing ARIF with ORIF technique [26,45,51] and studies with an average follow up longer than 3 years) [5,8,26,34,36,[38][39][40]43,44,47,49,[52][53][54]56], the advocates of ARIF suggest, that this technique can have a key role in the management of tibial plateau fractures and is the treatment of choice for associated intra-articular pathology.…”

Section: Resultsmentioning

confidence: 99%

“…The latest article to our knowledge is coming from Chiu et al (2013) and presents the radiologic and clinical results of posteromedial fractures treated with arthroscopy-assisted reduction and buttress plate and cannulated screw fixation. They operated on twenty-five patients with posteromedial tibial plateau fractures (Schatzker IV,V and VI) with the described technique.…”

Section: Levy Et Al (2008) Published Their Mid-to Long-term Resultsmentioning

confidence: 99%

“…In the last years the minimal invasive techniques have gained popularity, preventing mostly the additional surgical trauma by using a minimally invasive approach, and there is a plenty of studies with enough evidence to support the use of arthroscopy to assist in reduction of tibial plateau fractures [34][35][36][37][38][39].…”

Section: Treatment Optionsmentioning

confidence: 99%

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Arthroscopically Assisted Fixation of the Tibial Plateau Fractures

Tilkeridis¹,

Kiziridis²,

Tottas³

et al. 2018

J Bone Res

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Objectives: To consolidate the current literature and find the evidence of any advantages of the use of the above mentioned techniques and also to emphasize the need for well-designed studies to evaluate long-and short-term function and risk of posttraumatic osteoarthritis in arthroscopically-assisted treated patients. Background:The role of arthroscopy in the fixation of tibial plateau fractures has been advocated in the literature in the last decades. A number of papers have been published regarding Arthroscopically Assisted Internal Fixation (mainly) and Arthroscopically Assisted External Fixation (significantly smaller amount of papers) of tibial plateau fractures.

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“…Secondary osteoarthritis was noted in 6 injured knees (24%). No complications directly associated with arthroscopy were noted in any of the 25 patients (100%) [36].…”

Section: Levy Et Al (2008) Published Their Mid-to Long-term Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Levy Et Al (2008) Published Their Mid-to Long-term Resultsmentioning

confidence: 99%

Section: Treatment Optionsmentioning

confidence: 99%

See 2 more Smart Citations

Arthroscopically Assisted Fixation of the Tibial Plateau Fractures

Tilkeridis¹,

Kiziridis²,

Tottas³

et al. 2018

J Bone Res

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“…The incidence of posterolateral fragments were reported to be 35.9% in AO/OTA type B fractures by Sohn et al Today, treatment is limited to open reduction using the modified anterolateral or L-shaped posterolateral approach, which requires extensive dissection of the soft tissue 41 . Chiu introduces a minimally invasive technique for manipulating posteromedial fragments 42 . Through a limited posteromedial approach, a finger passed below the MCL to elevate the subchondral bone and articular surface; then a bone hook and two Kirschner wires were used to hold the reduction and temporarily fix the fragment.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Reduction and Internal Fixation for Monocondylar Fractures of Tibial Plateau: A Systematic Review

Chang

et al. 2018

Orthopaedic Surgery

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Instead of extensive dissection of soft tissue around the fracture site, percutaneous techniques have unique advantages in managing displaced fragments, including preservation of soft tissues, less blood loss, lower risk of complications, and earlier functional rehabilitation. However, there are few systematic reviews on the effects of percutaneous reduction and internal fixation (PRIF) for tibial plateau fractures. A systematic search of Cochrane, EMBASE, and MED-LINE databases was performed for all publicly available data in March 2017 regarding the use of PRIF in treating monocondylar tibial plateau fractures. Basic information of included articles, surgical information, clinical outcomes, and concomitant soft tissue injuries were collected for analysis. Finally, a total of 20 articles including 561 patients were retrieved. Traffic accident was the most common cause of injury. Percutaneous techniques using bone tamp reduction were described in all studies. The majority (≥85%) of patients were classified as excellent or good according to clinical and radiological Rasmussen scores. The overall complication rate was 6.6%, with loss of reduction the most frequent complication with an incidence of 2.4%. This systematic review indicated that PRIF was an optimal alternative that physicians should consider for the treatment of monocondylar tibial plateau fractures.

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