Purpose The purpose of this study was to describe the authors' arthroscopic-assisted reduction and fixation (ARIF) technique in the treatment of type Schatzker I-III tibial plateau fractures, with the use of instruments commonly used in anterior cruciate ligament reconstruction, evaluating clinical and radiological outcomes on four patients at short-term follow-up. Methods A retrospective analysis was performed in our Institution considering 4 patients who underwent ARIF procedure between 2018 and 2020 at minimum 3 months of follow-up. All patients were evaluated clinically (Rasmussen Score, VAS and Crosby-Insall Grading) and radiographically (after surgery and at 6 weeks). Results Mean follow-up was 9 months (range 6-12 months). Rasmussen score and VAS were respectively 26 (Excellent) and 1 at the last follow-up. According to the Crosby-Insall Grading System, all patients reported excellent results. At final control the mean ROM in the injured knee was 125°(range 100°-140°). Mean hospitalization was 2 days (range 1-4 days). No adverse events were reported. Conclusions ARIF is a reliable technique for tibial plateau fracture (Schatzker I-III). The technique described is very cheap and reproducible in any hospital . This procedure allows to well understand the pattern of fracture and to obtain an anatomical reduction with a great tissue sparing and a faster recovery of knee function. Level of Evidence: Level IV Keywords: tibial plateau fractures, treatment, arthroscopy, surgery, artrhoscopic-assisted.
Arthroscopic-assisted reduction and fixation of proximal tibial fractures: personal surgical technique / R. Compagnoni, A. Maione, F. Calanna, P. Ferrua, P.S. Randelli. - In: ACTA BIOMEDICA. - ISSN 2531-6745. - 92:2(2021 May 12), pp. e2021066.1-e2021066.5. [10.23750/abm.v92i2.10711]
Titolo: | Arthroscopic-assisted reduction and fixation of proximal tibial fractures: personal surgical technique | |
Autori: | MAIONE, ALESSIO (Secondo) FERRUA, PAOLO (Penultimo) RANDELLI, PIETRO SIMONE (Ultimo) | |
Settore Scientifico Disciplinare: | Settore MED/33 - Malattie Apparato Locomotore | |
Data di pubblicazione: | 12-mag-2021 | |
Rivista: | ||
Tipologia: | Article (author) | |
Digital Object Identifier (DOI): | http://dx.doi.org/10.23750/abm.v92i2.10711 | |
Appare nelle tipologie: | 01 - Articolo su periodico |
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10711-compagnoni-.pdf | Publisher's version/PDF | Open Access Visualizza/Apri | ||
Articolo.rivisto.RC-1.pdf | Post-print, accepted manuscript ecc. (versione accettata dall'editore) | Open Access Visualizza/Apri |