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The Efficacy of Meniscal Treatment Associated with Lateral Tibial Plateau Fractures
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논문 기본 정보

Type
Academic journal
Author
Hyun-Joo Park (인제대학교 일산백병원 정형외과) Hui-Du Lee (인제대학교 의과대학 일산백병원 정형외과학교실) Jin Ho Cho (인제대학교)
Journal
대한슬관절학회 Knee Surgery and Related Research Knee Surgery and Related Research 제29권 제2호 KCI Accredited Journals
Published
2017.6
Pages
137 - 143 (7page)

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The Efficacy of Meniscal Treatment Associated with Lateral Tibial Plateau Fractures
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purpose: The purpose of this study was to examine the incidence of lateral meniscal tears associated with lateral tibial plateau fractures and report the clinical outcomes of meniscal treatment with internal fixation of fractures.Materials and Methods: All lateral tibial plateau fractures (Schatzker types II and III) in skeletally mature patients treated operatively at our institution between January 2010 and February 2016 were included. All patients underwent open reduction and internal fixation using a buttress plateor cancellous screws. All meniscal tears were initially considered for repair using an all­inside technique.results: The incidence of lateral meniscal tears with lateral tibial plateau fractures was 64%. Ten patients underwent meniscal repair. In second­look arthroscopy, normal healing was observed in all of the repaired lateral menisci. At the last follow­up, none of the 10 patients had clinical symptoms related to meniscal injuries. One of the 4 patients who had not undergone meniscal treatment although a lateral tear was suspected based on magnetic resonance imaging achieved stable bony union; however, due to the complaint of persisting knee pain, lateral meniscectomy was performed.conclusions: Treatment of meniscal lesions associated with lateral tibial plateau fractures showed good clinical and second­look arthroscopic results. Therefore, we believe that recognition and treatment of a meniscal injury at the time of surgical fixation can improve clinical outcome.
#Knee #lateral tibial plateau #fracture #lateral meniscus #repair

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References (18)

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Bennett WF / 1994 / Tibial plateau fractures : a study of associated soft tissue injuries / J Orthop Trauma 8:183~188 google schola Stahl D / 2015 / Operatively treated meniscal tears associated with tibial plateau fractures : a report on 661 patients / J Orthop Trauma 29:322~324 google schola Tscherne H / 1993 / Tibial plateau fractures: management and expected results / Clin Orthop Relat Res (292):87~100 google schola Cho JH / 2008 / Arthroscopic all-inside repair of anterior horn tears of the lateral meniscus using a spinal needle / Knee Surg Sports Traumatol Arthrosc 16:683~686 google schola Abdel-Hamid MZ / 2006 / Arthroscopic evaluation of soft tissue injuries in tibial plateau fractures : retrospective analysis of 98cases / Arthroscopy 22:669~675 google schola

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