Minimally-invasive osteosynthesis of tibial plateau fractures

Ten patients with type B fractures of the tibial plateau (according to the AO-classification) were treated by arthroscopically-assisted reduction, aut ologous bone grafting due to osseous defects and transcutaneous screw fixat ion. Concomitant intra-articular lesions were treated arthroscopically at t he same time. We did not see any complications intra- or post-operatively a nd no secondary displacement of the fracture fragments. All patients gained full free motion in the operated knee. Considering the minimal soft tissue trauma, the diagnostic value, therapeutic options and good results, we reg ard arthroscopic minimally-invasive osteosynthesis as ideally suited for ce rtain type B fractures of the tibial plateau.