Arthroscopic Assisted Repair of Schatzker III Tibial Plateau Fracture

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Arthroscopic Assisted Repair of Schatzker III Tibial Plateau Fracture

By NYU Langone Orthopedics FEATURING Aldo Riesgo, Matthew Cantlon, Kari Broder, Kenneth A Egol

3,257 views

May 24, 2016

Purpose:
Tibial plateau fractures are articular fractures that prove difficult effectively manage and treat. Although ...
read more ↘ fluoroscopy is normally utilized in surgical repair of tibial plateau fractures, this video demonstrates the use of arthroscopy in assisting with the articular reconstruction of a Schatzker III tibial plateau fractures.
Methods:
The goal of operative treatment of tibial plateau is reconstruction of the articular surface followed by reestablishment of tibial alignment. Arthroscopy has been advocated as a possible supplement to the operative treatment of tibial plateau fractures. Arthroscopy-assisted fracture reduction has been shown to provide a significantly improved visualization of fracture fragment displacement when compared to traditional fluoroscopy use.
Results:
This video demonstrates the use of arthroscopy to visualize the articular surface during fixation of a tibial plateau fracture. Initially, arthroscopic visualization confirms depression of lateral tibial plateau. Following fixation with two partially threaded cancellous screws, arthroscopy confirms articular reduction and normal relation of lateral meniscus to the articular surface.
Conclusions:
Arthroscopic visualization is a reliable technique for assessing articular reduction during surgical repair of a tibial plateau fracture. Additionally, this technique enables the surgeon to assess for soft tissue injuries that could potentially go undiagnosed.
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