Arthroscopically Assisted Reduction And Internal Fixation Of Tibial Plateau Fractures

Objective: To evaluate arthroscopy-assisted versus traditional operative reduction and inter-fixation of tibial plateau fractures of Schatzker TypesⅠtoⅣ.Methods: Retrospective study on 54 patients with tibial plateau fractures of Schatzker TypesⅠtoⅣ. 23 of these patients were treated by arthroscopy-assisted operative management in tibial plateau fractures (Group A). The other 31 patients were treated by traditionally (Group B). There was no otherness between group A and group B ,analyzed by SPSS program, in the elementary variables, including ages, sex, the type of fracture, et al. The time of operation, the length of the incision and the function postoperative was compared between Group A and B.Result: The length of the incisions was 6.56±2.06 cm in Group A, as it was 13.90±2.52cm in grouo B (P<0.05). And it was 69.37±14.91 min to 102.74±49.19 min on the operation time (P<0.05). It is 23.25±3.23 of group A to 20.97±3.95 of group B on the Rasmussen functional scale of knee at the 3 month post operation (P<0.05), and 26.13±2.91 to 24.03±3.90 at the 6 month (P<0.05). Satisfactory function was achieved in 91.7% cases of Group A, according the Rasmussen criteria, and it was 67.7% in Group B(P<0.05), at the 6th month post operation.Conclusion: The arthroscopy-assisted operative management is suit for tibial plateau fractures of Schatzker TypesⅠtoⅣ, as a minimally invasive, complete and anatomical reduction method with good function achieved in early post operation, compared with traditional operative reduction and inter fixation.