What is the treatment for type I tibial plateau fractures?

Updated: Jul 05, 2018
  • Author: Srinivasa Vidyadhara, MBBS, DNB, MS(Orth), DNB(Orth), FNB(SpineSurg), MNAMS; Chief Editor: Thomas M DeBerardino, MD  more...
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Answer

Preoperative magnetic resonance imaging (MRI) or arthroscopy is necessary to visualize the lateral meniscus and the fracture. When the fracture is displaced, the lateral meniscus commonly is detached peripherally and not infrequently is trapped within the fracture site.

If a peripheral tear is present, with or without incarceration of the meniscus in the fracture site, open reduction with internal fixation (ORIF) is recommended with meniscal repair. If the meniscus is intact, closed reduction and percutaneous cannulated cancellous screw fixation is preferred. The quality of the reduction is assessed arthroscopically or with an image intensifier. If satisfactory reduction is not possible by closed means, open reduction is used.


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