ARTHROSCOPICALLY ASSISTED TREATMENT OF LATERAL TIBIAL PLATEAU FRACTURES IN SKIERS - USE OF A CANNULATED REDUCTION SYSTEM

被引：51

作者：

HOLZACH, P ^{[1
]}

MATTER, P ^{[1
]}

MINTER, J ^{[1
]}

机构：

[1] DAVOS HOSP,CH-7270 DAVOS,SWITZERLAND

来源：

JOURNAL OF ORTHOPAEDIC TRAUMA | 1994年 / 8卷 / 04期

关键词：

ARTHROSCOPY; INTERNAL FRACTURE FIXATION; CLOSED FRACTURE; TIBIAL PLATEAU FRACTURE;

D O I：

10.1097/00005131-199408000-00001

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

A prospective study was performed on 16 patients with lateral tibial plateau fractures. All injuries were associated with alpine or cross-country skiing. Included in the study were those patients with an articular surface depression of greater-than-or-equal-to 2 mm with radiographic findings consistent with the AO/ASIF classification of tibial plateau fractures (41 B2.2/B3.1). A combined procedure was performed with arthroscopic visualization of the knee joint and utilization of a cannulated plateau elevator. All fractures were reduced with this device with subsequent autogenous bone graft and, when indicated, transverse cancellous lag screw fixation. Follow-up was 1-6.5 years for the 16 patients, with all but two reporting resumption of activity to preinjury levels.

引用

页码：273 / 281

页数：9

共 17 条

[1]

Benedetto K.P., Sperner G., Glotzer W., Der Kniegelenkhaemarthros–differentialdiagnostische Überlegungen zur Planung einer Operation, Orthopade, 19, pp. 69-76, (1990)

[2]

Burri C., Bartzke G., Coldewey J., Muggier E., Fractures of the tibial plateau, Clin Orthop, 138, pp. 84-93, (1979)

[3]

Caspari R.B., Hutton P.M., Whipple T.L., Meyers J.F., The role of arthroscopy in the management of tibial plateau fractures, Arthroscopy, 1, pp. 76-82, (1985)

[4]

Gahr R., Thierack C., Kramer G., Die perkutane Aufrichtung und Fixierung bei geschlossenen Schienbeinkopfbrüchen, Zentralbl Chir, 111, pp. 1241-1247, (1986)

[5]

Hefti F., Drobny T., Hackenbruch W., Et al., Evaluation von Knieinstabilitäten, Kniegelenk Und Kreuzbänder, pp. 138-142, (1990)

[6]

Hohl M., Tibial condylar fractures, J Bone Joint Surg [Am], 49, pp. 1455-1467, (1967)

[7]

Jennings J.E., Arthroscopic management of tibial plateau fractures, Arthroscopy, 1, pp. 160-168, (1985)

[8]

Lemon R.A., Bartlett D.H., Arthroscopic assisted internal fixation of certain fractures about the knee, J Trauma, 25, pp. 355-358, (1985)

[9]

Muller M.E., Nazarian S., Koch P., Et al., Classification AO Des Fractures, pp. 148-158, (1987)

[10]

Muller M.E., Allgower M., Schneider R., Willenegger H., Manual of Internal Fixation, (1990)

← 1 2 →