Department Traumatology, Technical University, Ismaningerstr 22, 81675 Munich, Germany.
Int Orthop. 2012 Sep;36(9):1937-40. doi: 10.1007/s00264-012-1592-8. Epub 2012 Jun 24.
Fractures of the tibial plateau are among the most severe injuries of the knee joint and lead to advanced gonarthrosis if the reduction does not restore perfect joint congruency. Many different reduction techniques focusing on open surgical procedures have been described in the past. In this context we would like to introduce a novel technique which was first tested in a cadaver setup and has undergone its successful first clinical application.
Since kyphoplasty demonstrated effective ways of anatomical correction in spine fractures, we adapted the inflatable instruments and used the balloon technique to reduce depressed fragments of the tibial plateau.
The technique enabled us to restore a congruent cartilage surface and bone reduction.
In this technique we see a useful new method to reduce depressed fractures of the tibial plateau with the advantages of low collateral damage as it is known from minimally invasive procedures.
胫骨平台骨折是膝关节最严重的损伤之一，如果复位不能恢复完美的关节吻合，会导致晚期膝关节炎。过去已经描述了许多不同的复位技术，重点是开放性手术。在这方面，我们想介绍一种新的技术，该技术首先在尸体模型中进行了测试，并已成功进行了首次临床应用。
由于经皮椎体后凸成形术在脊柱骨折的解剖矫正方面显示出了有效的方法，我们采用了可膨胀的器械，并使用球囊技术来复位胫骨平台凹陷的骨折块。
该技术使我们能够恢复一致的软骨表面和骨复位。
在这项技术中，我们看到了一种有用的新方法，可以减少胫骨平台凹陷性骨折，其优点是微创程序中已知的低并发症。
