Roy Mainak, Jeyaraman Madhan, Jeyaraman Naveen, Shyam Ashok
Department of Orthopaedics, All India Institute of Medical Sciences - Central Armed Police Forces Institute of Medical Sciences (AIIMS-CAPFIMS), New Delhi, India.
Department of Orthopaedics, ACS Medical College and Hospital, Dr MGR Educational and Research Institute, Chennai, Tamil Nadu, India.
J Orthop Case Rep. 2025 Jun;15(6):5-8. doi: 10.13107/jocr.2025.v15.i06.5642.
Tibial plateau fractures are complex intra-articular injuries resulting from high-energy trauma in young patients or low-energy mechanisms in osteoporotic individuals. Proper management is crucial to restore joint congruity, stability, and function, ultimately preventing long-term complications such as post-traumatic osteoarthritis. Open reduction and internal fixation have been the traditional approach but are associated with significant morbidity, including extensive soft-tissue damage and infection risk. Arthroscopically assisted reduction and internal fixation have emerged as a minimally invasive alternative that allows for precise fracture reduction, direct assessment of intra-articular soft-tissue injuries, and lower complication rates. This review discusses the indications, surgical technique, advantages, limitations, outcomes, and future perspectives of ARIF in the management of tibial plateau fractures.
胫骨平台骨折是复杂的关节内损伤，由年轻患者的高能创伤或骨质疏松个体的低能量机制引起。正确的处理对于恢复关节的一致性、稳定性和功能至关重要，最终可预防创伤后骨关节炎等长期并发症。切开复位内固定一直是传统的治疗方法，但会带来显著的发病率，包括广泛的软组织损伤和感染风险。关节镜辅助下复位内固定已成为一种微创替代方法，它能够实现精确的骨折复位、直接评估关节内软组织损伤，且并发症发生率较低。本文综述讨论了关节镜辅助下复位内固定在胫骨平台骨折治疗中的适应证、手术技术、优点、局限性、疗效及未来展望。
