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Published in: Archives of Orthopaedic and Trauma Surgery 4/2014

01-04-2014 | Trauma Surgery

Second-look arthroscopy after surgical treatment of Schatzker type II plateau fractures through the lateral submeniscal approach

Authors: Han-Jun Lee, Ho-Joong Jung, Eui-Chan Chang, Jae-Sung Lee, Hyoung-Seok Jung

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 4/2014

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Abstract

Main problem

To evaluate cartilage healing using second-look arthroscopic examination in tibia plateau fracture patients who have undergone open reduction and internal fixation with a submeniscal approach technique.

Methods

Between January 2007 and January 2010, we used second-look arthroscopy during 18–24-month follow-up of 20 patients with Schatzkar type II tibial plateau fractures who had undergone open reduction and internal fixation with a submeniscal approach technique. We classified patients according to step-off, knee range of motion, and Knee Society Score, and compared the results with those obtained by arthroscopy.

Results

Radiologically, 16 cases (80 %) were reduced within 2 mm of step-off. In 11 of these cases, according to the Outerbridge classification, we checked for chondromalacia from grade II to III. We observed 2 mm of step-off in four cases, and each had chondromalacia of at least grade III. The Knee Society Score was associated with chondromalacia grade (p < 0.05).

Conclusion

Even in patients with normal joint range of motion and good clinical and radiological results, the actual condition of the articular cartilage varied significantly. Therefore, more long-term and regular follow-up is needed for proximal plateau fractures.
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Metadata
Title
Second-look arthroscopy after surgical treatment of Schatzker type II plateau fractures through the lateral submeniscal approach
Authors
Han-Jun Lee
Ho-Joong Jung
Eui-Chan Chang
Jae-Sung Lee
Hyoung-Seok Jung
Publication date
01-04-2014
Publisher
Springer Berlin Heidelberg
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 4/2014
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-014-1932-9

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