Hermanowicz Krzysztof, Malinowski Konrad, Góralczyk Adrian, Guszczyn Tomasz, LaPrade Robert F, Sadlik Bogusław
ORTIM Orthopaedic Clinic, Bialystok, Poland.
Artromedical Orthopaedic Clinic, Belchatow, Poland.
Arthrosc Tech. 2019 May 17;8(6):e567-e574. doi: 10.1016/j.eats.2019.01.021. eCollection 2019 Jun.
Tibial plateau fracture treatment remains challenging for orthopaedic surgeons around the world, especially in case of type III fractures according to the Schatzker classification, which are a pure depression of the lateral tibial plateau. Whereas open surgical procedures are associated with increased soft-tissue trauma because of the extent of the surgical approach and do not always allow for proper visualization of the fracture site, arthroscopic-assisted surgeries have been proven to have benefits over the former in terms of minimizing soft-tissue trauma, improved visual control of the fracture reduction, and the time of recovery. Most arthroscopic techniques, however, require using fluoroscopy. We present an all-arthroscopic procedure for Schatzker type III lateral tibial plateau fractures with using a trans-septal portal for visualization, which does not demand fluoroscopy.
胫骨平台骨折的治疗对全球骨科医生来说仍然具有挑战性，尤其是根据Schatzker分类的III型骨折，即外侧胫骨平台单纯凹陷骨折。由于手术切口范围大，开放手术会增加软组织创伤，而且并不总能清晰观察骨折部位，而关节镜辅助手术已被证明在减少软组织创伤、改善骨折复位的视觉控制以及缩短恢复时间方面优于开放手术。然而，大多数关节镜技术都需要使用荧光透视。我们介绍一种用于Schatzker III型外侧胫骨平台骨折的全关节镜手术方法，该方法使用经间隔入路进行观察，无需荧光透视。
