Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Tibia/Fibula
Abstract number: 23768
MINIMAL INVASIV TREATMENT OF TIBIAL PLATEAU FRACTURES
Stefan CRISTEA, andrei PRUNDEANU, Florin GROSEANU, Tudor ATASIEI
Clinic of Orthopaedic and Trauma Surgery, St. Pantelimon Hospital, Bucharest,
Romania, Bucharest (ROMANIA)
The tibial plateau fractures necessitate a perfect alignment, because they have joint
trajectory. It is difficult to treat these fracture especially type 5 and type 6 Schatzker.
Beside the standard treatment with one or two plates and screws, we used the
reduction of the fractures fragment with K wire under RX and arthroscopic control,
and then we fixed the fragments with K wire and screws.We used this technique for
the treatment of 148 tibia plateau fractures. We used Schatzker classification for their
identification. For this technique we used different kind of material: K wire, screws,
external fixation, fluoroscope, and arthroscopy.First of all it is important to establish
the fractures type.It is essential in the preoperative diagnosis the laboratory
investigation; radiological, and CT scan. The preoperative planning is necessary. The
advantages of this method are: minimal blood lost, small infection rate, good
mobilization of the knee without pain, cheaper implants. We used a single dose of
antibiotics during surgery and anticoagulant for thrombembolism prophylaxis. This
kind of articular fractures requires perfect alignment of fractures fragments. We
consider this technique minimal invasive is useful for the treatment of this kind of
fracture and in most cases we have good outcome.
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