Paper| Volume 23, ISSUE 6, P387-389, 1992

Download started.


Percutaneous screw fixation of tibial plateau fractures

      This paper is only available as a PDF. To read, Please Download here.


      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.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Injury
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Apley A.G.
        Fractures of the tibial plateau.
        Orthop. Clin. North Am. 1979; 10: 61
        • Drennan D.B.
        • Locher F.
        • Maylahn D.
        Fractures of the tibial plateau: treatment by closed reduction and spica cast.
        J. Bone Joint Surg. 1979; 61A: 989
        • Duwelius P.J.
        • Connolly J.F.
        Closed reduction of tibial plateau fractures. A comparison of functional and roentgenographic end results.
        Clin. Orthop. 1988; 230: 117
        • Jennings J.E.
        Arthroscopic management of tibial plateau fractures.
        Arthroscopy. 1985; 1: 160
        • Lansinger O.
        • Bergman B.
        • Kornar L.
        • et al.
        Tibial condylar fractures. A twenty year follow-up.
        J. Bone Joint Surg. 1986; 68A: 13
        • Rasmussen P.S.
        Tibial condylar fractures. Impairment of knee joint stability as an indication for surgical treatment.
        J. Bone Joint Surg. 1973; 55A: 1331
        • Schatzker J.
        • McBroom R.
        • Bruce D.
        The tibial plateau fracture: the Toronto experience.
        Clin. Orthop. 1979; 138: 94
        • Scotland T.
        • Wardlaw D.
        The use of cast-bracing as treatment for fractures of the tibial plateau.
        J. Bone Joint Surg. 1981; 63B: 575
        • Walker P.S.
        • Erkman M.J.
        The role of the menisci in force transmission across the knee.
        Clin. Orthop. 1975; 109: 184