Treatment of Tibial Plateau Fractures with Prying Reduction and Fixation Under Arthroscopy

Abstract

Tibial plateau fractures often occur in traffic injuries, falling injuries, and sports injuries. It is easy to be complicated with vascular and nerve, ligament injury of knee joint and compartment syndrome; improper treatment seriously affects the function. The literature reported that tibial plateau fractures accounted for about 4% of systemic fractures, combined with anterior cruciate ligament injury (32%) and meniscus injury (47%) [1–6]. Radiographs of anterior and lateral position and oblique position of knee joint are helpful to the diagnosis of tibial plateau fracture (Fig. 18.1). However, it is difficult to judge the condition of fracture collapse, displacement, and articular surface injury. CT scanning with three-dimensional reconstruction can accurately evaluate the compression fracture of the tibial plateau (Fig. 18.2), articular surface collapse, and bone mass displacement (Fig. 18.3). MRI can not only observe the fracture but also accurately judge the soft tissue injury such as meniscus, cruciate ligament, and medial and lateral collateral ligament (Fig. 18.4).