الفهرس | يوجد فقط 14 صفحة متاحة للعرض العام |
المستخلص stly, the study confirms thatLtheLIlizarov technique assisted with arthroscopy is a safe and effective method with a relatively low complication rate. It produces good results in both Schatzker type II-VI fractures. The results are comparable to those previously reported with other techniques. Early and definite fixation is achieved with the Ilizarov technique, allowing immediate full weight bearing, and the compliance is good. from a long-term perspective, the residual fracture displacements were within the range at which the risk of post-traumatic arthritis is low. The results from the present series indicate that the Ilizarov method is a valuable alternative in the treatment of both Schatzker II-VI fracture types. Arthroscopy now has a key role in the management of tibial plateau fractures and intraarticular soft tissue injures . Extensive experience with arthroscopy is crucial. Arthroscopy allows an evaluation of fracture reduction without an extensive arthrotomy incision and also enables optimal treatment of concomitant lesions. However, arthroscopy is merely an evaluation tool that provides complementary information to that obtained by fluoroscopy. Consequently, „„arthroscopic fixation‟‟ may be a less appropriate term than „„arthroscopy-assisted management‟‟. The benefits of arthroscopy are greatest when stable percutaneous fixation consistent with immediate mobilization is performed. Therefore, the best indications are pure split, pure depression, and split-depression fractures of the lateral tibial plateau. In patients with complex proximal tibial fractures, the use of arthroscopy by an experienced surgeon can minimize the surgical trauma, provided stable fixation consistent with early mobilization is performed. |