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KMID : 0828620120160010009
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Journal of Korean Arthroscopy Society
2012 Volume.16 No. 1 p.9 ~ p.16
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Characteristics of Meniscus Tear in Tibial Plateau Fractures
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Lee Dong-Hoon
Kim Byoung-Kook
Kim Jae-Hwa
Chung Ju-Hwan
Lee In-Sung
Lee Jun-Ku
Lee Soon-Chul
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Abstract
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Purpose: Tibial plateau fractures cause a variety of problems in the knee joint. The purpose of this study was to investigate the characteristics of the meniscus injuries in tibial plateau fracture arthroscopically.
Materials and Methods: Thirty-three out of 39 consecutive patients diagnosed with tibial plateau fractures underwent arthroscopy between March 2007 and March 2010. According to Schatzker classification, there were 1 type I (3.3%), 19 type II (53.3%), 4 type III (13.3%), 2 type IV (6.6%), 2 type V (6.6%) and 5 type VI (20%) fracture patterns in 33 patients.
Results: Twenty-five cases (75.8%) had lateral meniscus tears. There were 18 meniscal tears in 19 cases of Schatzker type II fractures (94.7%), 3 meniscal tears out of 4 cases of Schatzker type III fractures (75%) and 4 meniscal tears out of 5 cases of Schatzker type VI fractures (80%). The most commonly affected site (22/25) was the anterior horn of the lateral meniscus. Of the 25 documented meniscal tears, all but one were vertical longitudinal tear at meniscocapsular junction so most cases are amenable to arthroscopic repair.
Conclusion: Arthroscopy for the meniscal injuries in tibial plateau fractures is a valuable diagnostic and treatment tool, we recommend arthroscopy in tibial plateau fracture.
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KEYWORD
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Tibial plateau fractures, Soft tissue injury, Meniscus tear, Arthroscopy
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