When is arthroscopic-assisted elevation and screw fixation indicated for tibial plateau fractures, and what are the advantages and disadvantages?

Updated: Apr 20, 2020
  • Author: Srinivasa Vidyadhara, MBBS, DNB, MS(Orth), DNB(Orth), FNB(SpineSurg), MNAMS; Chief Editor: Thomas M DeBerardino, MD  more...
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Indications, advantages, and disadvantages of arthroscopic-assisted elevation and screw fixation may be summarized as follows:

  • Indications - Types I, II, III, and IV fractures with ligamentous and meniscal injuries
  • Advantages - Minimal soft-tissue injury; helps diagnose and treat intra-articular injuries; aids in reduction of depressed articular fractures; allows joint lavage
  • Disadvantages - Not useful in high-energy fractures

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