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The “Medial Approach” for Arthroscopic-Assisted Fixation of Lateral Tibial Plateau Fractures: Patient Selection and Mid- to Long-term Results

Levy, Bruce A MD*; Herrera, Diego A MD†; MacDonald, Peter MD, BSc, FRCSC‡; Cole, Peter A MD§

Journal of Orthopaedic Trauma: March 2008 - Volume 22 - Issue 3 - pp 201-205
doi: 10.1097/BOT.0b013e31815b35bf
Technical Trick

Arthroscopy has been used in the fixation of tibial plateau fractures for more than 20 years. Although not proved in randomized trials, several authors using the arthroscopic technique have demonstrated results comparable to traditional methods, using open reduction and internal fixation with standard buttress plates.1-3 Improved rehabilitation, greater range of motion, and a shortened hospital stay for patients who have undergone this technique have also been reported.1,4

From the *Department of Orthopaedic Surgery Mayo Clinic, Rochester, Minnesota; †Orthopaedic Resident, University of Alabama, Birmingham, Alabama; ‡Professor and Head, Section of Orthopedics, University of Manitoba, Winnipeg, Manitoba, Canada; and §Chief of Orthopaedic Surgery, Regions Hospital; Professor, University of Minnesota.

Accepted for publication September 14, 2007.

The authors did not receive grants or outside funding in support of their research or preparation of this manuscript.

The devices that are the subject of this manuscript are FDA approved.

Reprints: Bruce A. Levy, MD, Department of Orthopaedic Surgery, Mayo Clinic, 200 First Street, SW, Rochester, Minnesota 55905 (e-mail: Levy.Bruce@mayo.edu).

© 2008 Lippincott Williams & Wilkins, Inc.