Ct. Vangsness et al., ARTHROSCOPY OF MENISCAL INJURIES WITH TIBIAL PLATEAU FRACTURES, Journal of bone and joint surgery. British volume, 76B(3), 1994, pp. 488-490
We examined 36 consecutive patients with closed tibial plateau fractur
es under anaesthesia and by diagnostic and operative arthroscopy befor
e treating them by closed or open reduction and internal fixation. Fol
lowing the principle of Hohl (1967) (Fig. 1) there were 9 minimally di
splaced fractures (type I), 6 with local depression (type II), 13 with
split depression (type III), 7 with total condylar depression (type I
V), and one bicondylar comminuted upper tibial fracture (type V). Seve
nteen (47%) of knees were found to have associated meniscal injuries w
hich required surgical treatment; five repairs and 12 partial meniscec
tomies. Neither the type of plateau fracture nor the presence or absen
ce of ligament injury correlated with meniscal tear. There were no int
raoperative or postoperative complications from arthroscopy.