Arthroscopic and minimal access treatment of tibial plateau fractures

Authors

Keywords:

tibial plateau fracture, arthroscopic treatment, percutaneous osteosynthesis

Abstract

Introduction: arthroscopic treatment and minimal access to fractures of the tibial plateau does not constitute, at present, an unattainable chimera, this procedure can be performed in services that have arthroscopy.
Objective: to describe the results of the treatment of fractures of the tibial plateau degrees I, II and III of the Schatzker classification by means of arthroscopy and minimal access surgery.
Methods: a retrospective descriptive study was carried out on 18 patients who were operated on at the Hospital Provincial General Universitario “Mártires del 9 de Abril” in Sagua la Grande in the period from January 1, 2013 to December 31, 2017, and who presented fracture of the tibial plateau degrees I, II and III of Schatzker's classification and who were assisted by means of arthroscopy, minimal access surgery for reduction and osteosynthesis.
Results: out of the total number of patients, 15 corresponded to the male sex, with an average age of 41.4 years. According to Schatzker's classification, it is the type II of these fractures that occurred the most. They were evaluated as excellent and good in 17 cases (94.3%) and regular one (5.5%) according to the Rasmussen clinical and radiographic evaluation scale for tibial plateau fractures.
Conclusions: It is an effective treatment and of first indication for the fractures of the external tibial plateau I, II and III of Schatzker in the services that have arthroscopy.

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Author Biographies

Roberto Mata Cuevas, Hospital Provincial General Universitario “Mártires del 9 de Abril”

Especialista en I Grado en Ortopedia y Traumatología. Profesor Asistente de Ortopedia y Traumatología en la Universidad de Ciencias Médicas de Villa Clara.

Sergio Morales Piñéiro, Hospital Provincial General Universitario “Mártires del 9 de Abril”

Especialista en I y II Grado en Ortopedia y Traumatología. Profesor Auxiliar de Ortopedia y Traumatología en la Universidad de Ciencias Médicas de Villa Clara.

Lázaro Martín Martínez Estupiñán, Hospital Provincial General Universitario “Mártires del 9 de Abril”

Especialista en I y II Grado en Ortopedia y Traumatología. Máster en Atención Integral al niño. Máster en Metodología del Entrenamiento Deportivo. Doctor en Ciencias Médicas. Profesor Auxiliar en la Universidad de Ciencias Médicas de Villa Clara. Investigador Agregado.

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Published

2020-11-25

How to Cite

1.
Mata Cuevas R, Morales Piñéiro S, Martínez Estupiñán LM. Arthroscopic and minimal access treatment of tibial plateau fractures. Acta Méd Centro [Internet]. 2020 Nov. 25 [cited 2025 Jul. 1];15(1):1-9. Available from: https://revactamedicacentro.sld.cu/index.php/amc/article/view/1293

Issue

Vol. 15 No. 1 (2021): January-March

Section

Original Articles

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