By Robert E. Hunter
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Additional resources for AANA Advanced Arthroscopy. The Knee
Schatzker J. Tibial plateau fractures. In: Browner BD, Jupiter JB, Levine AM, Trafton PG, eds. Skeletal Trauma. Philadelphia: WB Saunders; 1992;1745-1770. Lubowitz JH, Elson WS, Guttmann D. Part I: arthroscopic management of tibial plateau fractures. Arthroscopy. 2004;20:1063-1070. Baxter MP, Wiley JJ. Fractures of the tibial spine in children. J Bone Joint Surg Br. 1988;70:228-230. Willis RB, Blokker C, Stoll TM, et al. Long-term follow-up of anterior tibial eminence fractures. J Pediatr Orthop.
From Lubowitz J, Vance K, Ayala M, et al. Interference Guttmann D. Part I: arthroscopic management of tibial plateau fractures. Arthroscopy. ) screw technique for arthroscopic reduction and internal fixation of compression fractures of the tibial plateau. Arthroscopy. ) (Fig. 3-4). The underlying metaphyseal bone and cortical disk serve as autograft. A calcium- or hydroxyapatite-impregnated bioabsorbable cannulated interference screw of large diameter is then advanced through the cortical window to elevate the fracture further under direct arthroscopic visualization (Fig.
Which denotes loss of the retropatellar tendon bursa and adherence of the patellar tendon to the tibia (Fig. 4-5). Diagnostic Imaging A standard series of radiographs should be taken on initial evaluation of the stiff knee. Weight- bearing anteroposterior and 45-degree anteroposterior flexion views should be obtained to assess for any degenerative changes. Bilateral 30-degree lateral views should be obtained to evaluate for any degenerative changes as well as any patella baja. A Merchant or sunrise view FIGURE 4-5 Shelf sign.