Arthroscopic Assisted Reduction and Internal Fixation of Tibial Plateau Fractures by Viewing and Instrumentation Access Through Coexisting Meniscus Tear: Case Series.

Abstract

Meniscus tear coexisting with tibial plateau fractures may be found in 2-49% of cases. Literature accepts that torn meniscus can be retracted towards the center to improve visualization of the peripheral plateau which is ordinarily concealed by the overlying meniscus. We hypothesized that easing in microscope through a coexisting tear may be much less disruptive with little or no adverse effects with respect to either the propagation of tear or its later repair. This strategy improved visualization as well as the extended reach of interventional instrumentation access to otherwise concealed areas of plateau and endoscopic trans-focal access to a vertical limb of fracture split on the anterior cortex of proximal tibia without any impact on the stability of repaired meniscus. The experience in a series of six cases is shared. The online version contains supplementary material available at 10.1007/s43465-022-00703-7.