2020, Number 2
<< Back Next >>
Acta Med 2020; 18 (2)
Arthroscopic salvage of lateral meniscus secondary to tibial plateau fracture AO 41B3.1
Villalobos MJ, García LR, Hernández MJR
Language: Spanish
References: 7
Page: 202-205
PDF size: 223.00 Kb.
ABSTRACT
Introduction: Complex fractures of the pelvic limbs, increase annually, within these, are the fractures of the tibial plateau.
Clinical case: 21-year-old male with complex tibial plateau fracture, treated with osteosynthesis under arthroscopic vision, observing as arthroscopic finding, meniscal desinsertion, managed with 8 meniscal sutures in total, for anterior and posterior horn. The tibial fracture was treated with 3.5 mm locking compression plate (LCP) blocked proximal plate and bone graft, 44 post-surgical days, the patient walks without problem with good knee movement.
Conclusions: Tibial plateau fracture reductions when there’s articular involvement, should be made under arthroscopic surveillance to observe the joint congruence of the meniscus and, where appropriate, perform meniscal rescue.
REFERENCES
Cuéllar-Avaroma A, King-Martínez A, Hernández-Salgado A, Torres-González R. Complicaciones en las fracturas complejas de la meseta tibial y factores asociados. Cir Ciruj. 2006; 74 (5): 351-357.
Pujol N, Boisrenoult P, Beaufils P. Lesiones traumáticas de los meniscos de la rodilla. EMC - Aparato Locomotor. 2014; 47 (2): 1-10.
Elabjer E, Benčić I, Ćuti T, Cerovečki T, Ćurić S, Vidović D. Tibial plateau fracture management: arthroscopically-assisted versus ORIF procedure - clinical and radiological comparison. Injury. 2017; 48 Suppl 5: S61-S64.
Aurich M, Koenig V, Hofmann G. Comminuted intraarticular fractures of the tibial plateau lead to posttraumatic osteoarthritis of the knee: Current treatment review. Asian J Surg. 2018; 41 (2): 99-105.
Hung SS, Chao EK, Chan YS, Yuan LJ, Chung PC, Chen CY et al. Arthroscopically assisted osteosynthesis for tibial plateau fractures. J Trauma. 2003; 54 (2): 356-363.
Warschawski Y, Elbaz A, Segal G, Norman D, Haim A, Jacov E et al. Gait characteristics and quality of life perception of patients following tibial plateau fracture. Arch Orthop Trauma Surg. 2015; 135 (11): 1541-1546.
Carredano X, Valderrama J, Marín F, Valderrama I, Espinoza G. Complicaciones en fracturas de platillos tibiales de alta energía. Rev Chil Ortop Traumatol. 2016; 57 (3): 70-75.