Department for Trauma and Reconstructive Surgery, BG Klinik, University of Tübingen, Tübingen, Germany.
Acta Chir Orthop Traumatol Cech. 2021;88(5):382-385.
Posterolateral fractures of the tibial plateau are difficult to address. Malunion can lead to early posttraumatic arthritis of the knee due to instability and elevated joint reaction forces. Arthroscopically assisted percutaneous reduction facilitates visualization and avoids open approaches either directly from posterolateral or from lateral with optional extension via a lateral epicondylus osteotomy. We describe and illustrate a minimal invasive technique using an arthroscopic posterolateral viewing portal. Using this technique, we demonstrated very good clinical outcome with excellent patient satisfaction. Key words: Schatzker, tibia head fracture, knee arthroscopy, multiligamentary injury.
胫骨平台后外侧骨折较难处理。由于不稳定和关节反应力增加，愈合不良可导致膝关节创伤性关节炎早期发生。关节镜辅助下经皮复位有助于实现可视化并避免直接从后外侧或通过外侧髁突切开术从外侧进行的开放性入路。我们描述并说明了一种使用关节镜后外侧观察入路的微创技术。使用该技术，我们展示了非常好的临床结果和患者满意度。关键词：Schatzker，胫骨头骨折，膝关节镜，多韧带损伤。
