Arthroscopy-Assisted Management of Schatzker Type III Lateral Tibial Plateau Fracture With Interference Screw Fixation

Tibial plateau fractures occur in both old and young patients and may be caused by low-energy trauma, as well as high-energy trauma. Owing to the variety of injury mechanisms and fracture patterns, tibial plateau fractures are very challenging to treat. One of the most demanding fractures is the typ...

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Main Authors: Krzysztof Hermanowicz, M.D., Ph.D., Tomasz Mrozek, M.D., Adrian Góralczyk, M.D., Konrad Malinowski, M.D., Ph.D.
Format: Article
Language:English
Published: Elsevier 2021-05-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628721000207
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author Krzysztof Hermanowicz, M.D., Ph.D.
Tomasz Mrozek, M.D.
Adrian Góralczyk, M.D.
Konrad Malinowski, M.D., Ph.D.
author_facet Krzysztof Hermanowicz, M.D., Ph.D.
Tomasz Mrozek, M.D.
Adrian Góralczyk, M.D.
Konrad Malinowski, M.D., Ph.D.
author_sort Krzysztof Hermanowicz, M.D., Ph.D.
collection DOAJ
description Tibial plateau fractures occur in both old and young patients and may be caused by low-energy trauma, as well as high-energy trauma. Owing to the variety of injury mechanisms and fracture patterns, tibial plateau fractures are very challenging to treat. One of the most demanding fractures is the type III fracture according to the Schatzker classification, which is a pure depression of the lateral tibial plateau. Treatment with open surgical procedures is associated with vast soft-tissue trauma and prolonged recovery after surgery. Although soft-tissue trauma is minimized and visual control is improved throughout arthroscopy-assisted surgical procedures, internal fixation using buttress plates or lag screws is still required to reduce and fix the depressed plateau. We present an arthroscopy-assisted technique of reduction and fixation of the lateral tibial plateau fracture with 3 BioComposite interference screws (Arthrex, Munich, Germany) that provides a high amount of stability and reduces patient immobilization, allowing for faster rehabilitation.
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spelling doaj.art-99e71b88465e4f2f9daaf4a2c3867a5a2022-12-21T20:37:59ZengElsevierArthroscopy Techniques2212-62872021-05-01105e1197e1202Arthroscopy-Assisted Management of Schatzker Type III Lateral Tibial Plateau Fracture With Interference Screw FixationKrzysztof Hermanowicz, M.D., Ph.D.0Tomasz Mrozek, M.D.1Adrian Góralczyk, M.D.2Konrad Malinowski, M.D., Ph.D.3Ortim Orthopaedic Clinic, Białystok, Poland; Address correspondence to Krzysztof Hermanowicz, M.D., ORTIM Gabinet Ortopedyczny, Mlynowa 17, Białystok 15-568, Poland.Ortim Orthopaedic Clinic, Białystok, PolandOrtim Orthopaedic Clinic, Białystok, PolandArtromedical Orthopaedic Clinic, Bełchatów, PolandTibial plateau fractures occur in both old and young patients and may be caused by low-energy trauma, as well as high-energy trauma. Owing to the variety of injury mechanisms and fracture patterns, tibial plateau fractures are very challenging to treat. One of the most demanding fractures is the type III fracture according to the Schatzker classification, which is a pure depression of the lateral tibial plateau. Treatment with open surgical procedures is associated with vast soft-tissue trauma and prolonged recovery after surgery. Although soft-tissue trauma is minimized and visual control is improved throughout arthroscopy-assisted surgical procedures, internal fixation using buttress plates or lag screws is still required to reduce and fix the depressed plateau. We present an arthroscopy-assisted technique of reduction and fixation of the lateral tibial plateau fracture with 3 BioComposite interference screws (Arthrex, Munich, Germany) that provides a high amount of stability and reduces patient immobilization, allowing for faster rehabilitation.http://www.sciencedirect.com/science/article/pii/S2212628721000207
spellingShingle Krzysztof Hermanowicz, M.D., Ph.D.
Tomasz Mrozek, M.D.
Adrian Góralczyk, M.D.
Konrad Malinowski, M.D., Ph.D.
Arthroscopy-Assisted Management of Schatzker Type III Lateral Tibial Plateau Fracture With Interference Screw Fixation
Arthroscopy Techniques
title Arthroscopy-Assisted Management of Schatzker Type III Lateral Tibial Plateau Fracture With Interference Screw Fixation
title_full Arthroscopy-Assisted Management of Schatzker Type III Lateral Tibial Plateau Fracture With Interference Screw Fixation
title_fullStr Arthroscopy-Assisted Management of Schatzker Type III Lateral Tibial Plateau Fracture With Interference Screw Fixation
title_full_unstemmed Arthroscopy-Assisted Management of Schatzker Type III Lateral Tibial Plateau Fracture With Interference Screw Fixation
title_short Arthroscopy-Assisted Management of Schatzker Type III Lateral Tibial Plateau Fracture With Interference Screw Fixation
title_sort arthroscopy assisted management of schatzker type iii lateral tibial plateau fracture with interference screw fixation
url http://www.sciencedirect.com/science/article/pii/S2212628721000207
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