Arthroscopy-assisted reduction and internal fixation for tibial plateau fractures

15^th International Conference on Orthopaedics, Arthroplasty and Arthroscopy

September 22, 2022 | Webinar

Po Hua Huang

Chang Gung Memorial Hospital, China

ScientificTracks Abstracts: J Arthroplasty

Abstract :

The goal of surgical treatment for tibial plateau fracture is to reconstruct the articular surfaces, to obtain a stable fixation for early motion, and repair all concomitant lesions. With the assistance of arthroscopy, the articular surface can be readily seen and the intra-articular structures can be thoroughly examined while the fragments are fixated with minimal soft tissue dissection. The purpose of this study was to evaluate the functional and radiographic results and the complications of arthroscopically assisted reduction for tibial plateau fractures. Forty-three patients were treated with arthroscopically assisted reduction for tibial plateau fracture, with an average follow-up period of 2 years from 2014 to 2017. Evaluations were performed clinically and radiologically with modified Rasmussen's criteria. According to the Schatzker classification, the fractures types were as follows: type I, 1 (2%); type II, 9 (21%); type III, 7 (16%); type IV, 7 (16%); type V, 14 (33%); and type VI, 6 (14%). The mean age at operation was 46.7 years (range, 17 to 66 years). Thirty-one of 43 patients (72.1%) in our series had associated intra-articular lesions. The mean postoperative Rasmussen clinical score was 28.1 (range, 18 to 30), and the mean radiologic score was 16.0 (range, 11 to 17). Good or excellent clinical and radiologic results were achieved in 93% of patients. Secondary osteoarthritis was noted in 5 injured knees (11.6%). All 43 fractures were successfully united. No complications directly associated with arthroscopy were noted. With the assistance of arthroscopy, the advantages included direct visualization of intra-articular fractures, accurate fracture reduction, reduced morbidity in comparison to arthrotomy, simplified diagnosis and treatment of meniscal and ligamentous injuries, and thorough joint lavage and removal of loose fragments. Arthroscopic surgery for tibial plateau fractures is a safe, reproducible, and effective procedure that provides precise diagnosis and effective treatment. Recent Publications 1. Reasons for failure of surgical treatment in 25 tibial plateau fractures, Huang PH, Cheng CY, Chen YJ, Chen ACY, Hsu KY, Chan YS*, Chen WJ. Formosan Journal of Musculoskeletal Disorders Feb. 3 (2012) 14-18. 2. Short-term clinical results of intra-articular PRP injections for early osteoarthritis of the knee, Huang PH, Wang CJ*, Chou WY, Wang JW, Ko JY. International Journal of Surgery May 2017;42:117-22. 3. Chronic kidney disease worsens health outcomes in diabetic patients after hip fracture surgery: an Asian Nationwide population-based cohort study, Huang PH, Chen TH, Lin YS, Kuo LT, Chen CL, Yu PA, Hsu WH. J of Bone & Mineral Res May 2019;34:849-58.

Biography :

Po Hua Huang completed the following education and training: *1999 -2004, Chung Shan Medical University, Taichung, Taiwan*2005 ~ 2006 Clerk and Internship, Medical student, Chang Gung Memorial Hospital, linkou, Taiwan *2007 ~ 2012 Residency, Department of Orthopaedic Surgery, Chang Gung Memorial Hospital, linkou, Taiwan *2012 ~ 2013 Fellowship, Division of Sports Medicine, Department of Orthopaedic Surgery, Chang Gung Memorial Hospital, linkou, Taiwan Employment *2013~till now Attending, Department of Orthopaedic Surgery, Chang Gung Memorial Hospital, Kaohsiung, Taiwan. Research interest: Orthopaedic Surgery, Orthopaedic Sports medicine, Arthroscopic Surgery.