Hartigan David E, McCarthy Mark A, Krych Aaron J, Levy Bruce A
Mayo Clinic, Rochester, Minnesota, U.S.A.
Arthrosc Tech. 2015 Feb 2;4(1):e51-5. doi: 10.1016/j.eats.2014.11.002. eCollection 2015 Feb.
Tibial plateau fractures present a difficult range of fractures to treat. Arthroscopy allows for a less invasive option when compared with arthrotomy. Furthermore, visualization of the articular surface arthroscopically can allow for a precise reduction and assessment of any concomitant injuries to the articular cartilage and meniscus. By use of arthroscopy, unicondylar lateral plateaus were traditionally approached through a laterally based metaphyseal window. However, in carefully selected patients and fracture patterns, a medially based, arthroscopic-assisted approach can create long bony tunnels for subchondral support and allow for greater ease in fracture reduction. We present our technique using a medial approach for arthroscopic-assisted fixation of lateral tibial plateau fractures.
胫骨平台骨折是一类治疗难度较大的骨折。与切开手术相比，关节镜检查提供了一种侵入性较小的选择。此外，通过关节镜对关节面进行可视化检查，可以精确复位并评估关节软骨和半月板的任何并发损伤。传统上，通过基于外侧的干骺端窗口对单髁外侧平台骨折进行关节镜检查。然而，在经过仔细挑选的患者和骨折类型中，基于内侧的关节镜辅助方法可以创建用于软骨下支撑的长骨隧道，并使骨折复位更加容易。我们展示了使用内侧入路进行关节镜辅助固定外侧胫骨平台骨折的技术。
