Arthroscopy Techniques (Jun 2019)

All-Arthroscopic Treatment of Schatzker Type III Lateral Tibial Plateau Fracture Without Fluoroscopy

  • Krzysztof Hermanowicz, M.D., Ph.D.,
  • Konrad Malinowski, M.D., Ph.D.,
  • Adrian Góralczyk, M.D.,
  • Tomasz Guszczyn, M.D., Ph.D.,
  • Robert F. LaPrade, M.D., Ph.D.,
  • Bogusław Sadlik, M.D., Ph.D.

Journal volume & issue
Vol. 8, no. 6
pp. e567 – e574

Abstract

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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.