Arthroscopic-Assisted Reduction of Tibial Plateau Fractures.

Journal and index pages often block iframe embedding. This reader keeps the evidence details in Orthonotes and leaves the source page one click away.

Abstract

[Indexed for MEDLINE] 19. JBJS Essent Surg Tech. 2019 Jul 24;9(3):e25. doi: 10.2106/JBJS.ST.18.00105. eCollection 2019 Jul-Sep. Repair of Tibial Plateau Fracture (Schatzker II). Lowe DT(1), Milone MT(1), Gonzalez LJ(1), Egol KA(1). Author information: (1)Department of Orthopedic Surgery (D.T.L., M.T.M) and Division of Trauma Surgery (K.A.E.), NYU Langone School of Medicine (L.J.G.), NYU Langone Orthopedic Hospital, New York, NY. Tibial plateau fracture is an injury commonly seen by those who treat trauma around the knee and/or sports-related injuries. In this video article, we present our protocol for surgical treatment of a tibial plateau fracture, which includes definitive fixation with use of a plate-and-screw construct, addressing of all associated soft-tissue injuries at the time of the surgical procedure, filling of any residual voids with bone cement, and early rehabilitation with weight-bearing beginning at 10 to 12 weeks postoperatively. The major steps of the procedure are (1) preoperative planning with digitally templated plates and screws, (2) patient positioning and setup, (3) anterolateral approach toward the proximal aspect of the tibia, (4) submeniscal arthrotomy, (5) booking open of the proximal aspect of the tibia at the fracture site, (6) tagging of the meniscus, (7) fracture reduction and placement of the Kirschner wire, (8) confirmation of reduction with C-arm image intensification, (9) internal fixation with a plate-and-screw construct, and (10) closure. Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated. DOI: 10.2106/JBJS.ST.18.00105 PMCID: PMC6948998