Arthroscopic management of tibial plateau fractures.

Because of the variety and concomitant ligamentous damage or meniscal lesion, tibial plateau fractures are notorious for the poor resulted intra-articular fracture. Accurate diagnosis of associated intraarticular pathology, reduction of displaced fragments, adequate stabilization, early motion, and delayed weight bearing are necessary for the good results.Arthroscopic managements for the fractures were reported in a few cases of osteochondritis dissecans and less of the tibial plateau fractures. We performed the arthroscopic management on 6 cases of tibial plateau fractures in 15 cases.Arthroscopy has the advantages of accurate reduction and rigid fixation without extensive operative exposure. In addition, it allows thorough lavage, removal of loose fragments, and accurate diagnosis of associated intraarticular pathology. Since extensive exposure is avoided, rapid recovery with reduced pain and early full range of motion is achieved in patients managed arthroscopically.