waly, A., Shekedaf, S., Abd El-Gwad, A. (2022). EVALUATION OF THE OUTCOME OF ARTHROSCOPIC ASSISTED FIXATION OF SCHATZKER II, III LATERAL TIBIAL PLATEAU FRACTURES. ALEXMED ePosters, 4(1), 13-14. doi: 10.21608/alexpo.2022.116783.1347
ahmed hasan waly; Saeed Mohamed Shekedaf; Ahmed Abdallah Abd El-Gwad. "EVALUATION OF THE OUTCOME OF ARTHROSCOPIC ASSISTED FIXATION OF SCHATZKER II, III LATERAL TIBIAL PLATEAU FRACTURES". ALEXMED ePosters, 4, 1, 2022, 13-14. doi: 10.21608/alexpo.2022.116783.1347
waly, A., Shekedaf, S., Abd El-Gwad, A. (2022). 'EVALUATION OF THE OUTCOME OF ARTHROSCOPIC ASSISTED FIXATION OF SCHATZKER II, III LATERAL TIBIAL PLATEAU FRACTURES', ALEXMED ePosters, 4(1), pp. 13-14. doi: 10.21608/alexpo.2022.116783.1347
waly, A., Shekedaf, S., Abd El-Gwad, A. EVALUATION OF THE OUTCOME OF ARTHROSCOPIC ASSISTED FIXATION OF SCHATZKER II, III LATERAL TIBIAL PLATEAU FRACTURES. ALEXMED ePosters, 2022; 4(1): 13-14. doi: 10.21608/alexpo.2022.116783.1347
EVALUATION OF THE OUTCOME OF ARTHROSCOPIC ASSISTED FIXATION OF SCHATZKER II, III LATERAL TIBIAL PLATEAU FRACTURES
1Department of Orthopedic Surgery and Traumatology , faculty of Medicine, university of Alexandria.
2Department of Orthopaedic Surgery and Traumatology, Faculty of Medicine, Alexandria University
Abstract
Fractures of the tibial plateau represent only 1% to 2% of all fractures but account for approximately 8% of fractures occurring in the elderly. They follow a bimodal distribution and typically involve either active young patients after high-energy trauma or older osteoporotic patients after falling down. Themechanismofinjuryisverycomplexandusuallyisacombinationofrotational and axial compression forces; these fractures are often associated with intra-articular lesions and soft tissue damage such as chondral damage, meniscal tear, and ligaments rupture. The main goals of treatment of tibial plateau fractures are to restore joint congruity, restore alignment of articular surface, re-establish the knee joint stability, recreate proper knee alignment, and allow for early knee range of motion. Arthroscopy is a valuable tool for the treatment of tibial plateau fractures. It was first described in the 1980s, Compared to ORIF this technique allows direct and better vision of articular surface reduction, joint lavage and removal of hematoma and small fracture fragments through a less invasive procedure. It also allows the surgeons to diagnose and treat associated intra-articular soft tissue lesions.
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