Vol 41 | Issue 1 | Jan-Jun 2020 | page: 17-20 | Bibhudutta Mall, Sunil Kumar Dash, Aurobindo Das, Sanket Mishra,
Authors: Bibhudutta Mall , Sunil Kumar Dash , Aurobindo Das , Sanket Mishra , Harekrushna Sahu 
 Department of Orthopaedics, Hi-Tech Medical College & Hospital, Bhubaneswar, Odisha India.
Address of Correspondence
Dr. Bibhudutta Mall,
Hi-Tech Medical College & Hospital, Bhubaneswar, Odisha India
This is a prospective case study about tibia plateau fractures in 28 patients which was managed with arthroscopic assisted internal fixation with plating and with or without bone grafting. In our study we saw domestic fall was a cause of fracture in about 60 yrs age patient with osteoporosis . Intra operative findings showed lateral meniscal tear in 6 patients medial meniscal tear in 1 patient which were repaired or menisectomy was done accordingly. In most of the patient fracture union seen by 4 to 6 months. Radiological Rasmussen score was Excellent in 53.5% in 3 months of follow up where as it improved to 75% by 6 months and 1 year follow up. Clinical Rasmussen score was Excellent in 50% of patients in 3 months where as it was improved to 71.4% by 6 months and 75% by 1 year follow up. Complications like infection in 3 patients , malunion in 2 patients, wound dehiscence in 2 patients. Arthroscopic assisted tibial plateau fixation is a preferred treatment for tibial plateau fracture because arthroscopy gives a precise visualization of pathology in the knee joint which can be meticulously addressed which gives early mobility and excellent range of movements.
Keywords: Intra-articular fracture , Tibial plateau , Arthroscopy-assisted internal fixation.
1. Hohl M. Part I: Fractures of the proximal tibia and fibula. In: Rockwood C, Green D, Bucholz R, eds. Rockwood and Green’s Fractures in Adults. Vol 2. 3rd ed. Philadel¬phia, PA: JB Lippincott; 1992:1725-1757.
2. Caspari RB, Hutton PM, Whipple TL, Mey¬ers JF. The role of arthroscopy in the manage¬ment of tibial plateau fractures. Arthroscopy. 1985; 1(2):76-82.
3. Jennings JE. Arthroscopic management of tibial plateau fractures. Arthroscopy. 1985; 1(3):160-168.
4. Schatzker J, McBroom R, Bruce D. The tib¬ial plateau fracture: the Toronto experience 1968-1975. Clin Orthop Relat Res. 1979; 138:.94-104.
5. Caspari RB,Hutton PMJ,Whiplle,Meyers JF.The Role of arthroscopy in the management of tibial plateau fracture
6. Rasmussen PS (1973) Tibial condylarfractures: impairment of knee joint stability as an indication for surgical treatment. J Bone Joint Surg Am 55:1331–1350.
7. Arthroscopic-Assisted Fixation of Tibial Plateau Fractures: Patient-Reported Postoperative Activity Levels John Kampa, MD; Ryan Dunlay, MD; Robby Sikka, MD; Marc Swiontkowski, MD
8. Fowble CD, Zimmer JW, Schepsis AA. The role of arthroscopy in the assessment and treatment of tibial plateau fractures. Arthroscopy 1993;9:584-90.
9. Arthroscopy-assisted operative management of tibial plateau fractures. Mehmet Asik Ozgur Cetik Ufuk Talu Yunus V. Sozen.
10. Roerdick WH,Oskam J,Vierhout Pam.Arthroscopically assisted osteosynthesis of tibial plateau fracture in patients older than 77 years.Arthroscopy2001;17:826-831
11. Medium-term results of percutaneous, arthroscopically-assisted osteosynthesis of fractures of the tibial plateau T. Scheerlinck, C. S. Ng, F. Handelberg, P. P. Casteleyn.
12. arthroscopic assisted management of tibial plateau fractures; a novel technique Younis kamal
13. Yi-Sheng Chan et al: Arthroscopy assisted surgery for tibial plateau fractures. Chang Gung Med j 2011;34:239-47.
|How to Cite this Article: Mall B, Dash S, Das A, Mishra S, Sahu H. | A prospective study of clinical outcomes of management of arthroscopic assisted tibial plateau fractures fixation | Odisha Journal of Orthopaedics & Trauma | Jan-June 2020; 41(1): 17-20.|