Abstract
Insertion of bone graft to fill metaphyseal defects and supply subchondral support when fixing Schatzker type II and III tibial plateau fractures can be difficult and tedious. Accurately directing the placement of bone graft through a small entry portal and against gravity can be challenging. Using a modified 3-mL syringe and bone tamps with application of the Seldinger technique can make this tedious task simple and more accurate.
Level of evidence V.
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Chen XZ, Liu CG, Chen Y, Wang LQ, Zhu QZ, Lin P (2015) Arthroscopy-assisted surgery for tibial plateau fractures. Arthroscopy 31(1):143–153
Chiu CH, Cheng CY, Tsai MC, Chang SS, Chen AC, Chen YJ, Chan YS (2013) Arthroscopy-assisted reduction of posteromedial tibial plateau fractures with buttress plate and cannulated screw construct. Arthroscopy 29(8):1346–1354
Egol KA, Cantlon M, Fisher N, Broder K, Reisgo A (2017) Percutaneous repair of a Schatzker III tibial plateau fracture assisted by arthroscopy. J Orthop Trauma 31(suppl 3):S12–S13
Evangelopoulos DS, Heitkemper S, Eggli S, Haupt U, Exadaktylos AK, Brenneker LM (2010) Percutaneous cement augmentation for the treatment of depression fractures of the tibial plateau. Knee Surg Sports Traumatol Arthrosc 18(7):911–915
Gross SC, Tejwani NC (2013) The role of arthroscopy in the management of tibial plateau fractures. Bull Hosp Jt Dis 73(2):128–133
Hartigan DE, McCarthy MA, Krych AJ, Levy BA (2015) Arthroscopic-assisted reductions and percutaneous fixation of tibial plateau fractures. Arthrosc Tech 4(1):e51–e55
Kampa J, Dunlay R, Sikka R, Swiontkowski M (2016) Arthrosopic-assisted fixation of tibial plateau fractures: patient reported postoperative activity levels. Orthopedics 39(3):e486–e491
Koval KJ, Sanders R, Borrelli J, Helfet D, DiPasquale T, Mast JW (1992) Indirect reduction and percutaneous screw fixation of displaced tibial plateau fractures. J Orthop Trauma 6(3):340–346
Kraus M, Preiss A, Meenen NM, Madert J, Frosch KH (2016) “Fracturoscopy” is superior to fluoroscopy in the articular reconstruction of complex tibial plateau fractures—an arthroscopy assisted fracture reduction technique. J Orthop Trauma 30(8):437–444
Li JW, Ye F, Bi DW, Zheng XD, Chen JL (2018) Treatment of Schatzker IV tibial plateau fractures with arthroscopy combined with MIPPO technique. Zhongguo Gu Shang 31(2):186–189
Lord BR, Pollard TC, McAndrew AR (2011) Injection of calcium phosphate cement in the percutaneous treatment of fractures of the lateral tibial plateau. Acta Orthop Belg 77(4):539–540
Vendeuvre T, Babusiaux D, Breque C, Khiami F, Steiger V, Merienne JF, Scepi M, Gayet LE (2013) Tuberoplasty: minimally invasive osteosynthesis technique for tibial plateau fractures. Orthop Traumatol Surg Res 99(4 Suppl):S267–S272
Wang Z, Tang Z, Liu C, Liu J, Xu Y (2017) Comparison of outcome of ARIF and ORIF in the treatment of tibial plateau fractures. Knee Surg Sports Traumatol Arthrosc 25(2):579–583
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DA: involved in drafting the manuscript and revising it critically for important intellectual content; has given final approval of the version to be published; and agrees to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. JP: involved in drafting the manuscript and revising it critically for important intellectual content; has given final approval of the version to be published; and agrees to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. VT: involved in drafting the manuscript and revising it critically for important intellectual content; has given final approval of the version to be published; and agrees to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. RY: made substantial contributions to conception and design, acquisition of data, and analysis and interpretation of data; involved in drafting the manuscript and revising it critically for important intellectual content; has given final approval of the version to be published; and agrees to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. FL: involved in drafting the manuscript and revising it critically for important intellectual content; has given final approval of the version to be published; and agrees to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved; made substantial contributions to conception and design, acquisition of data, and analysis and interpretation of data.
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Adams, D., Patel, J.N., Tyagi, V. et al. A simple method for bone graft insertion during Schatzker II and III plateau fixation. Knee Surg Sports Traumatol Arthrosc 27, 850–853 (2019). https://doi.org/10.1007/s00167-018-5134-9
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DOI: https://doi.org/10.1007/s00167-018-5134-9