Abstract：
BACKGROUND: A clinical case of a tibia plateau fracture is presented which was treated with balloon osteoplasty and arthroscopy guidance. Balloon Tibioplasty has been shown to be a very useful method for the management of tibial plateau fractures. The use of calcium phosphate has been described in the literature for management and restoration of bone defects in tibial plateau fractures.
METHODS: A 45-years-old Caucasian woman was presented after a fall from a ladder. The patient sustained a lateral tibia plateau fracture which was classified as Shatzker type III (AO 41-B2) with posterolateral depression of the joint surface. Surgical treatment was applied using a minimal approach which included percutaneous reduction of the fracture under arthroscopy and fluoroscopy guidance. The bone defect was filled with calcium phosphate via injection. The clinical outcome at the 6, 12 and 24 weeks was excellent with full-range of motion of the knee joint.
CONCLUSIONS: Arthroscopy assisted balloon osteoplasty seems to be a safe and effective method for the treatment of depressed tibia plateau fractures. Further study is needed for the proper evidence based use and application of this method.
METHODS: A 45-years-old Caucasian woman was presented after a fall from a ladder. The patient sustained a lateral tibia plateau fracture which was classified as Shatzker type III (AO 41-B2) with posterolateral depression of the joint surface. Surgical treatment was applied using a minimal approach which included percutaneous reduction of the fracture under arthroscopy and fluoroscopy guidance. The bone defect was filled with calcium phosphate via injection. The clinical outcome at the 6, 12 and 24 weeks was excellent with full-range of motion of the knee joint.
CONCLUSIONS: Arthroscopy assisted balloon osteoplasty seems to be a safe and effective method for the treatment of depressed tibia plateau fractures. Further study is needed for the proper evidence based use and application of this method.
摘要：
背景：介绍了一例胫骨平台骨折的临床病例，该病例采用球囊骨成形术和关节镜引导治疗。球囊胫骨成形术已被证明是治疗胫骨平台骨折的非常有用的方法。在文献中已经描述了磷酸钙用于治疗和修复胫骨平台骨折中的骨缺损。
方法：一名45岁的白人妇女从梯子上摔下来后出现。该患者患有胫骨平台外侧骨折，分为ShatzkerIII型（AO41-B2），关节表面后外侧凹陷。采用最小的方法进行手术治疗，包括在关节镜和透视引导下经皮骨折复位。通过注射用磷酸钙填充骨缺损。在膝关节全范围运动的情况下，第6、12和24周的临床结果非常好。
结论：关节镜辅助球囊骨成形术似乎是治疗胫骨平台凹陷骨折的一种安全有效的方法。需要进一步研究以适当的证据为基础的使用和该方法的应用。
方法：一名45岁的白人妇女从梯子上摔下来后出现。该患者患有胫骨平台外侧骨折，分为ShatzkerIII型（AO41-B2），关节表面后外侧凹陷。采用最小的方法进行手术治疗，包括在关节镜和透视引导下经皮骨折复位。通过注射用磷酸钙填充骨缺损。在膝关节全范围运动的情况下，第6、12和24周的临床结果非常好。
结论：关节镜辅助球囊骨成形术似乎是治疗胫骨平台凹陷骨折的一种安全有效的方法。需要进一步研究以适当的证据为基础的使用和该方法的应用。
