Comparison of CT and MRI in patients with tibial plateau fracture: can CT findings predict ligament tear or meniscal injury?

Mui, Leonora W.; Engelsohn, Eliyahu; Umans, Hilary

doi:10.1007/s00256-006-0216-z

Cited by 72 publications

(17 citation statements)

References 12 publications

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“…External circular fixation is used for complex fractures with soft-tissue damage because of the advantage of being minimally invasive and a potential to reduce deep infection [8, 15–23]. External fixators are also used as a temporary stabilization frames across the knee joint for pain relief, provisional reduction and soft-tissue control; CT scans are obtained for pre-operative planning [17, 24, 25]. Recently, we have observed a progressive modification of the treatment from ORIF to arthroscopic assisted reduction and internal fixation (ARIF) [14, 24, 26–28].…”

Section: Introductionmentioning

confidence: 99%

“…External fixators are also used as a temporary stabilization frames across the knee joint for pain relief, provisional reduction and soft-tissue control; CT scans are obtained for pre-operative planning [17, 24, 25]. Recently, we have observed a progressive modification of the treatment from ORIF to arthroscopic assisted reduction and internal fixation (ARIF) [14, 24, 26–28]. Some authors recommend ARIF for Schatzker type I, II, III, IV whilst a few have done the same for type V and VI fractures [6, 9, 14, 23, 28–31].…”

Section: Introductionmentioning

confidence: 99%

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Tibial plateau fractures: compared outcomes between ARIF and ORIF

Dall'Oca¹,

Maluta²,

Lavini³

et al. 2012

Strategies in Trauma and Limb Reconstruction

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The purpose of this study is to compare arthroscopic assisted reduction internal fixation (ARIF) treatment with open reduction internal fixation (ORIF) treatment in patients with tibial plateau fractures. We studied 100 patients with tibial plateau fractures (54 men and 46 women) examined by X-rays and CT scans, divided into 2 groups. Group A with associated meniscus tear was treated by ARIF technique, while in group B ORIF technique was used. The follow-up period ranged from 12 to 116 months. The patients were evaluated both clinically and radiologically according to the Rasmussen and HSS (The Hospital for Special Surgery knee-rating) scores. In group A, the average Rasmussen clinical score is 27.62 ± 2.60 (range, 19–30), while in group B is 26.81 ± 2.65 (range, 21–30). HSS score in group A was 76.36 ± 14.19 (range, 38–91) as the average clinical result, while in group B was 73.12 ± 14.55 (range, 45–91). According to Rasmussen radiological results, the average score for group A was 16.56 ± 2.66 (range, 8–18), while in group B was 15.88 ± 2.71 (range, 10–18). Sixty-nine of 100 patients in our study had associated intra-articular lesions. We had 5 early complications and 36 late complications. The study suggests that there are no differences between ARIF and ORIF treatment in Schatzker type I fractures. ARIF technique may increase the clinical outcome in Schatzker type II–III–IV fractures. In Schatzker type V and VI fractures, ARIF and ORIF techniques have both poor medium- and long-term results but ARIF treatment, when indicated, is the best choice for the lower rate of infections.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Tibial plateau fractures: compared outcomes between ARIF and ORIF

Dall'Oca¹,

Maluta²,

Lavini³

et al. 2012

Strategies in Trauma and Limb Reconstruction

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“…Although no MR images were obtained in this case, MRI can be used to look for meniscal injury ( 4 ). When MR imaging is compared to arthroscopy, MRI has a higher negative predictive value of 92.8% for meniscal and ligament injury than arthroscopy, but it only has an 85% accuracy in diagnosis of meniscal and ACL tears ( 2 ).…”

Section: Discussionmentioning

confidence: 99%

The presence of associated vascular findings on noncontrast enhanced CT of fractures in diabetics

Morrissey¹,

Moayyad²,

Kash³

2013

Radiology Case Reports

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A 44-year-old female with diabetes and end-stage renal disease suffered a nondisplaced medial tibial plateau fracture after a ground-level fall. After open reduction and internal fixation, her popliteal artery and vein occluded at the level of the fracture. Review of the noncontrast computed tomography scan completed on initial arrival to the emergency department revealed a fracture in the calcified media of the popliteal artery at the level of the arterial occlusion. The propensity of different classes of tibial plateau fractures to be associated with soft-tissue and vascular injuries is examined in the context of different imaging modalities. The pathogenesis of arterial calcification and arterial dissection (including patients with renal disease and diabetics) is reviewed.

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“…CT was found to be sensitive and specific in identifying ligament injuries because most of them had at least small bony avulsions, but MRI was necessary to detect meniscal injuries [22]. CT-angiography must be performed in cases where a vessel damage is suspected.…”

Section: Imagingmentioning

confidence: 99%

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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Comparison of CT and MRI in patients with tibial plateau fracture: can CT findings predict ligament tear or meniscal injury?

Abstract: In the acute setting, CT offers high sensitivity and specificity for depicting osseous avulsions, as well as high negative predictive value for excluding ligament injury. However, MRI remains necessary for the preoperative detection of meniscal injury.

Cited by 72 publications

References 12 publications

Tibial plateau fractures: compared outcomes between ARIF and ORIF

Tibial plateau fractures: compared outcomes between ARIF and ORIF

The presence of associated vascular findings on noncontrast enhanced CT of fractures in diabetics

Arthroscopically Assisted Fixation of the Tibial Plateau Fractures

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