Arthroscopic assisted percutaneous screw fixation of certain tibial plateau fractures

Eighteen patients with tibial plateau fractures were accurately reduced and percutaneously fixed by cancellous screw under arthroscopic control. In six patients bone graft was used. The depression of the articular surface was managed by elevation of subchondral plate through a small window. The post-operative rehabilitation program consisted of early mobilization [on the second postoperative day] and non-weight bearing for at least six weeks. The low complications rate [8%] due to restricted arthrotomy and good early results obtained [80.88%] would seem to justify the use of this technically demanding procedure in carefully selected fractures