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Abstract
A series of 13 patients with displaced fractures of the tibial plateau treated by
closed reduction and percutaneous pinning have been reviewed 17 months after surgery.
All the operations were performed using image intensification to aid reducton of the
fracture by ligamentotaxis and to guide screw placement. In two cases, arthroscopy
was used in addition to facilitate elevation of the articular surface using a probe
inserted through a cortical window in the proximal tibial metaphysis. The postoperative
rehabilitation programme consisted of early mobilization and non-weight bearing for
at least 2 months.
Of the patients, 11 had a satisfactory result, one patient had a fair result with
persistent pain and the other had a poor result when the fixation failed in a comminuted
bicondylar fracture in porotic bone.
This technique is minimally invasive and avoids many of the complications of both
conservative and operative treatment and will have an expanding role to play in the
management of these fractures.
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References
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Article info
Publication history
Accepted:
November 27,
1991
Identification
Copyright
© 1992 Published by Elsevier Inc.
