The use of arthroscopy does not increase the incidence of complications in the management of Schatzker IV-VI tibial plateau fractures
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Fecha
2023-07-01
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Facultad/escuela
Idioma
en
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Licencia CC
Atribución 4.0 Internacional (CC BY 4.0)
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https://creativecommons.org/licenses/by/4.0/deed.es
Resumen
Background and objective: The use of arthroscopy for tibial plateau fractures type I, II and III according to Schatzker classification has increased, yet its employment for tibial plateau fractures Schatzker IV, V and VI is controversial due to the potential risk of compartment syndrome, deep vein thrombosis and infection. We aimed to compare the rate of operative and postoperative complications among patients with these types of tibial plateau fractures treated with and without arthroscopy at the time of definitive reduction and osteosynthesis. Methods: Retrospective cohort study. Patients with diagnosis of tibial plateau fracture Schatzker IV, V or VI who underwent reduction and definitive osteosynthesis with or without the use of arthroscopy were included. The development of compartment syndrome, deep vein thrombosis, and fracture-related infection was evaluated up to 12 months after the definitive surgery. Results: Two hundred eighty-eight patients were included: 86 with arthroscopic assistance and 202 without it. The overall complication rate in the group with and without arthroscopic assistance was 18.60% and 26.73%, respectively (P=.141). No statistical association was found between the use of arthroscopic assistance and the development of the analyzed complications. Discussion and conclusion: The use of arthroscopy to support reduction or addressing concomitant intra-articular injuries did not increase the risk of complications in patients with high-energy tibial plateau fractures at 12 months of follow up. © 2023 SECOT
Notas
Indexacción: Scopus
Palabras clave
Arthroscopically assisted reduction, Compartment syndrome, Deep venous thrombosis, Fracture related infection, Knee arthroscopy, Tibial plateau fractures
Citación
Revista Espanola de Cirugia Ortopedica y Traumatologia Volume 67, Issue 4, Pages 290 - 2961 July 2023
DOI
10.1016/j.recot.2023.01.004