Second-look arthroscopy after surgical treatment of Schatzker type II plateau fractures through the lateral submeniscal approach

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• 作者：Han-Jun Lee (1)
  Ho-Joong Jung (1)
  Eui-Chan Chang (1)
  Jae-Sung Lee (1)
  Hyoung-Seok Jung (1)
  
• 关键词：Tibial plateau fracture ; Schazker type II ; Second ; look arthroscopy ; Articular cartilage ; Chondromalasia
• 刊名：Archives of Orthopaedic and Trauma Surgery
• 出版年：2014
• 出版时间：April 2014
• 年：2014
• 卷：134
• 期：4
• 页码：495-499
• 全文大小：301 KB
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• 作者单位：Han-Jun Lee (1)
  Ho-Joong Jung (1)
  Eui-Chan Chang (1)
  Jae-Sung Lee (1)
  Hyoung-Seok Jung (1)
  
  1. Department of Orthopaedic Surgery, Chung-Ang University, College of Medicine, Seoul, Korea
  
• ISSN：1434-3916

文摘

Main problem To evaluate cartilage healing using second-look arthroscopic examination in tibia plateau fracture patients who have undergone open reduction and internal fixation with a submeniscal approach technique. Methods Between January 2007 and January 2010, we used second-look arthroscopy during 18-4-month follow-up of 20 patients with Schatzkar type II tibial plateau fractures who had undergone open reduction and internal fixation with a submeniscal approach technique. We classified patients according to step-off, knee range of motion, and Knee Society Score, and compared the results with those obtained by arthroscopy. Results Radiologically, 16 cases (80?%) were reduced within 2?mm of step-off. In 11 of these cases, according to the Outerbridge classification, we checked for chondromalacia from grade II to III. We observed 2?mm of step-off in four cases, and each had chondromalacia of at least grade III. The Knee Society Score was associated with chondromalacia grade (p?<?0.05). Conclusion Even in patients with normal joint range of motion and good clinical and radiological results, the actual condition of the articular cartilage varied significantly. Therefore, more long-term and regular follow-up is needed for proximal plateau fractures.