Arthroscopically assisted osteosyntesis of intra-articular proximal tibial fracture
| Authors | |
|---|---|
| Year of publication | 2011 |
| Type | Conference abstract |
| MU Faculty or unit | |
| Citation | |
| Description | Introduction: Intra-articular proximal tibial fractures are some of the most challenging periarticular injuries to treat. Anatomic restoration of the articular surface with rigid internal fixation, allowing immediate range of motion, is critical to a successful, functional outcome. Arthroscopic techniques possess several advantages over conventional open reduction and internal fixation performed through an arthrotomy. Usually is arthroscopically assisted osteosynthesis recommended for fractures classified B according to the AO system. Materials and methods: In the period from 2005 to 2010, 54 patients with proximal tibial fractures were operated in our department. Fractures AO 42 B1-C3 were diagnosed by CT before operation. In all these cases we used arthroscopically assisted osteosynthesis. Minimally invasive fixation with cancellous screws was used in 9, buttress plate in 24 and LCP in 21 patients. Spongioplasty was carried out in 27 patients and 11 meniscal ruptures were repaired. Results: 52 patients were healed without complication. Complication was in 2 cases of B type fractures: 1 failure of osteosynthesis and 1 flebothrombosis. Conclusion: Results and number of complication of arthroscopically assisted osteosynthesis of intra-articular fractures of proximal tibia classified according to the AO system B and C are comparable. That is why arthroscopic techniques could be used for both groups of fractures. |