Bone disease with pain. Tibial plateau fracture
Tokunaga, M.
Clinical Calcium 18(10): 1493-1503
2008
ISSN/ISBN: 0917-5857 PMID: 18830047 Document Number: 616381
Fractures that involve the proximal tibia affect knee kinematics and stability. Especially tibial prateau fractures are intra-articular injuries, impair not only metaphyseal bone but articular cartilage, meniscus and ligament. Basically the ideal treatment for tibial plateau fractures should be an anatomic reduction with stable fixation allowing weight bearing training and an early range of motion exercise, it is the reason that the indication of conservative treatment is limited. Open rudection and bone grafting followed by a buttress plate fixation is a general treatment for tibial plateau fracture. I have tried to use the arthroscopic technique for selected cases. Utilizing arthroscopic assist, accurate diagnosis and treatment of any associated joint pathology was possible, and an anatomical reduction was obtained. The aim of surgical treatment of tibial plateau fracture is to restore a congruity of joint by anatomical reduction of articular surface, and to achieve enough stability permitting early pain free range of motion training. Finally, the goal of treatment is to preserve normal knee function and to prevent developing post-traumatic arthrosis in the future.