Arthroscopic soft tissue findings associated with tibial plateau fractures

Background. The influence of increasing lateral plateau widening on the frequency of meniscal and ligamentous lesions in lateral tibial plateau fractures has been examined in very few studies using plain radiographs. Because the amount of this parameter cannot be measured accurately on plain radiographs, the purpose of this survey was to look for a possible correlation between the extent of lateral plateau widening, as measured on multidetector CT (MDCT) scans, and different soft-tissue injuries determined from magnetic resonance imaging (MRI). Materials and Methods. 55 patients with a lateral tibial plateau fracture were included in this retrospective case series. Patient age averaged 52.6 years (SD = 18.0). The degree of lateral plateau widening was measured on CT images. MRIs were screened for meniscal and ligamentous injuries. Results. We found a significant effect of increasing lateral plateau widening on the incidence of lateral meniscus lesions (P = 0.021), lateral collateral ligament tears (P = 0.047), and the overall quantity of meniscal and ligamentous lesions (P = 0.001). Discussion. MRIs are not widely used as a diagnostic tool in lateral plateau fractures of the tibia. Reasons might be the costs and the fact that it is a time-consuming examination. The results of this study may help to estimate the probability of specific soft-tissue lesions in lateral tibial plateau fractures based on measurements of lateral plateau widening on MDCT scans, and they may guide the decision for additional MRI and/or arthroscopically assisted repair.

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Soft tissue injury of the knee following tibial plateau fractures (SS-71)

Arthroscopy The Journal of Arthroscopic and Related Surgery ◽

10.1016/j.arthro.2004.02.063 ◽

2004 ◽

Vol 20 ◽

pp. e33

Author(s):

James P. Stannard ◽

Stephen L. Brown ◽

Robert R. Lopez-Ben ◽

James T. Robinson ◽

Gerald McGwin ◽

...

Keyword(s):

Soft Tissue ◽

Tibial Plateau ◽

Tissue Injury ◽

Soft Tissue Injury ◽

Tibial Plateau Fractures

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Soft Tissue Injury of the Knee after Tibial Plateau Fractures

The Journal of Knee Surgery ◽

10.1055/s-0030-1268694 ◽

2010 ◽

Vol 23 (04) ◽

pp. 187-192 ◽

Cited By ~ 46

Author(s):

James Stannard ◽

Robert Lopez ◽

David Volgas

Keyword(s):

Soft Tissue ◽

Tibial Plateau ◽

Tissue Injury ◽

Soft Tissue Injury ◽

Tibial Plateau Fractures

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The staged treatment for tibial plateau fractures and the reconstruction of lateral column with autogenous iliac bone: an efficacy analysis report

10.21203/rs.3.rs-346348/v2 ◽

2021 ◽

Author(s):

Dong Li ◽

Xiao Liang ◽

Kun Xi ◽

Bin Zhao ◽

Fushan Hou

Keyword(s):

Soft Tissue ◽

Tissue Damage ◽

Tibial Plateau ◽

Tibial Plateau Fractures ◽

Iliac Bone ◽

Soft Tissue Damage ◽

Bony Union ◽

Lateral Column ◽

Soft Tissue Necrosis ◽

Staged Treatment

Abstract Background: Complications in treating comminuted tibial plateau fractures with extensive soft tissue damage are common. In this study, we discussed the effect of staged treatment in the reconstruction of the lateral column with autogenous iliac bone using case follow-up. Methods: A retrospective analysis of 18 patients with comminuted tibial plateau fractures and extensive soft tissue damage from October 2016 to February 2020 who underwent staged treatment in our hospital. After the soft tissue damage repair, a large autologous iliac bone was used to reconstruct the lateral column of the tibial plateau.Results: All 18 patients were followed up over the course of 8-40 months, with an average of 23.44 months. All patients reported zero postoperative infection, skin and soft tissue necrosis, and loosening/breakage of the internal fixation. Regular postoperative review revealed that all patients achieved complete bony union, as evidenced by X-ray film, at 6 months after operation. Knee function (HSS) scores averaged 86.72 points at 1 year after operation; 15 people with 85 points or more, 2 people with 70-84 points, and one with 68 points. The excellent rate, according to HSS was 90%.Conclusions: Complex tibial plateau fractures with extensive soft tissue damage can be effectively remedied with a staged treatment, wherein a lateral column reconstruction is performed using a large iliac bone.

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A PROSPECTIVE STUDY EVALUATING ASSOCIATION BETWEEN TIBIAL PLATEAU FRACTURE MORPHOLOGY WITH LIGAMENT AND MENISCAL INJURY AROUND KNEE.

10.36106/gjra/1811051 ◽

2021 ◽

pp. 33-35

Author(s):

Manoj Kumar ◽

Bharat Bhushan ◽

Arun Vaishy ◽

Rajendra Fageria ◽

Ramakishan Ramakishan

Keyword(s):

Soft Tissue ◽

Tibial Plateau ◽

Tibial Plateau Fracture ◽

Soft Tissue Injuries ◽

Fracture Morphology ◽

Tibial Plateau Fractures ◽

Meniscal Injury ◽

Classi Cation ◽

Plateau Fracture ◽

A Prospective Study

INTRODUCTION: In the modern world,due to advent of high speed motor vehicles , high energy trauma commonly involves the knee joint and results in complex tibial plateau fractures and associated ligament and meniscal injuries . Proper diagnosis and management of these injuries reduced the chances of degenerative changes around knee joint later on. MATERIAL AND METHOD: A prospective study was conducted in the Department of Orthopaedics in a tertiary health care center of western rajasthan from January 2018 to December 2020 . A total of eighty patients( 62 males: 18 females) with tibial plateau fractures and associated soft tissue injuries were included .Patients were assessed both clinically and radiologically and “ SCHATZKER'S classication was used to classify the tibial plateau fractures. Pre-operatively in every case CT-scan was used to study fracture pattern and MRI was done to see fracture morphology and associated soft tissue injuries. RESULT: A total 80 patient was included in our study,out of which 73 (91.25%) having ligaments( Cruciate and Collaterals) and meniscal injury . Injury to the lateral meniscus was found most frequently in Schatzker II fracture (p<0.0006) and medial meniscus in schatzker IV (p< 0.011). Variable association was shown by ACL and PCL injuries with tibial plateu fracture morphology ,but as the grade of designation increases within schatzker classication as does the frequency of cruciate ligament tear. Overall incidence of LCL rupture occurred least frequently in Schatzker II fractures (7 of 34; 20.5%), which was statistically signicant (P < 0.01). Complete MCL tear occurred in 27( 33.7%) of all fractures and in 41% of Schatzker II fractures. PLC tear had shown signicant association with medial tibial plateu fracture (schatzker IV). CONCLUSION: The likelihood of the cruciate , collateral ligament and PLC injury increases as the grade of designation within schatzker classication (schatzker I-VI). PLC injury had a signicant association with medial tibial plateu fracture (schatzker IV) and MCL had a signicant association with lateral tibial plateau fracture .

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