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- Talk
- 14/07/2021
- UK
Retrospective Study - Combined Arthroscopic and Radioscopic Approach to Fractures of the Tibial Plateau
Description
This presentation, delivered by Sophia Moura de Carvalho from Portugal, focuses on the retrospective study of a combined arthroscopic and radioscopic approach to treating tibial plateau fractures, which though rare, pose significant challenges for orthopedic surgeons. The talk emphasizes the importance of proper treatment to restore limb alignment, joint stability, and prevent osteodegenerative changes, as inadequate treatment can lead to serious consequences.
Arthroscopy is highlighted for its advantage in providing clear visualization of the joint's surface and minimizing soft tissue injury. The study aims to assess the long-term effectiveness of this combined approach, which has previously shown good short-term outcomes.
In total, 24 patients who underwent surgery between January 2013 and December 2019, performed by the same surgical team, were included in this study. Comprehensive preoperative evaluations were conducted using X-rays and CT scans, with fractures classified according to the Schatzker system. Patients were also assessed for knee function using the Oxford Knee Score and quality of life using the EQ-5D-5L questionnaire.
Key findings included a gender distribution of 16 females and 8 males, with a median age of 56.58 years. The study observed various types of Schatzker fractures, with average surgical waiting and hospital stay times of approximately 5.88 and 5.83 days, respectively. Surgical methods included the use of cannulated screws and an intrasternal plate, with some cases requiring bone grafts.
Functional assessments indicated satisfactory joint function for many patients, with high scores on quality of life questionnaires. Postoperative evaluations revealed minimal instances of osteodegenerative changes compared to preoperative assessments, with no severe arthrosis cases reported.
In conclusion, the combined arthroscopic and radioscopic approach is validated as a safe and effective technique, demonstrating favorable medium and long-term results, thereby recommending its use in treating tibial plateau fractures.