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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 2/2017

01-02-2017 | Knee

Comparison of outcome of ARIF and ORIF in the treatment of tibial plateau fractures

Authors: Zhen Wang, Zhibing Tang, Chaoqun Liu, Jinlian liu, Yaozeng Xu

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 2/2017

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Abstract

Purpose

The purpose of this study is to explore whether arthroscopically assisted reduction and internal fixation (ARIF) is superior to traditional open reduction and internal fixation (ORIF) in the treatment of tibial plateau fractures.

Methods

Fifty-seven patients with tibial plateau fractures (Schatzker type I–IV) treated by ARIF or ORIF from 2010 to 2013 were included in this retrospective study. All patients received pre-operative radiographs and CT scans. The patients were divided into two groups (ARIF or ORIF). All had a minimum follow-up of 24 months and an average follow-up of 44.4 months. The clinical and radiographic outcomes were evaluated according to the Rasmussen and KSS scores.

Results

There was no significant difference in KSS score or Rasmussen clinical score between the two groups. The average Rasmussen radiographic score was 14.1 (SD 2.4, range 10–18), for the ARIF group and 14.9 (SD 2.3, range 10–18) for the ORIF group (p < 0.05). Meniscal lesions were found in 12 knees in group ARIF.

Conclusions

Both ARIF and ORIF yielded satisfactory clinical results for the treatment of Schatzker I–IV tibial plateau fractures. ARIF led to better radiological results than ORIF. Concomitant intra-articular soft tissue lesions are common and can be addressed during ARIF.

Level of evidence

III.
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Metadata
Title
Comparison of outcome of ARIF and ORIF in the treatment of tibial plateau fractures
Authors
Zhen Wang
Zhibing Tang
Chaoqun Liu
Jinlian liu
Yaozeng Xu
Publication date
01-02-2017
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 2/2017
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-016-4285-9

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