Arthroscopic Reduction and Percutaneous Osteosynthesis of Tibial Plateau Fractures

Konstantin Mitev; Gorgi Zafiroski; Sasho Mladenovski; Ljupcho Nikolov

doi:10.3889/oamjms.2019.197

Authors

Konstantin Mitev Special Hospital for Surgical Disease Zan Mitrev, Skopje, Repubic of Macedonia; Univesity Goce Delchev, Faculty of Medical Sciences, Shtip, Republic of Macedonia http://orcid.org/0000-0003-0171-7575
Gorgi Zafiroski Special Hospital for Surgical Disease Zan Mitrev, Skopje, Repubic of Macedonia
Sasho Mladenovski Special Hospital for Surgical Disease Zan Mitrev, Skopje, Repubic of Macedonia
Ljupcho Nikolov Special Hospital for Surgical Disease Zan Mitrev, Skopje, Repubic of Macedonia

DOI:

https://doi.org/10.3889/oamjms.2019.197

Keywords:

tibial plateau fractures, arthroscopic reduction, percutaneous osteosynthesis

Abstract

BACKGROUND: Tibial plateau fractures are complex lesions capable of causing severe consequences if not appropriately treated. They are often the result of high-energy trauma and, not rarely, are associated with significant soft-tissue and intra-articular injuries. Different therapeutic options can be managed in the treatment of these lesions. Minimally invasive surgery percutaneous technique-offers several advantages compared to other surgical techniques and allows, with less additional soft tissue damages, good reduction and stable fixation of the fracture.

CASE PRESENTATION: In this study, we assessed the results of the combined arthroscopic and radioscopic assisted reduction and internal fixation of tibial plateau fractures in 7 patients with Schatzker type II and III.

CONCLUSION: According to Hohlâ€™s and Rasmussenâ€™s grading system, all of the patients scored excellent and good results at 1 year follow up. We experienced no complications due to arthroscopy.