Arthroscopically Assisted Reduction and Internal Fixation for Tibial Plateau Fractures

Tibial plateau fractures are complex intra-articular injuries resulting from high-energy trauma in young patients or low-energy mechanisms in osteoporotic individuals. Proper management is crucial to restore joint congruity, stability, and function, ultimately preventing long-term complications such...

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Main Authors: Mainak Roy, Madhan Jeyaraman, Naveen Jeyaraman, Ashok Shyam
Format: Article
Language:English
Published: Indian Orthopaedic Research Group 2025-06-01
Series:Journal of Orthopaedic Case Reports
Subjects:
Online Access:https://jocr.co.in/wp/2025/06/01/arthroscopically-assisted-reduction-and-internal-fixation-for-tibial-plateau-fractures/
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author Mainak Roy
Madhan Jeyaraman
Naveen Jeyaraman
Ashok Shyam
author_facet Mainak Roy
Madhan Jeyaraman
Naveen Jeyaraman
Ashok Shyam
author_sort Mainak Roy
collection DOAJ
description Tibial plateau fractures are complex intra-articular injuries resulting from high-energy trauma in young patients or low-energy mechanisms in osteoporotic individuals. Proper management is crucial to restore joint congruity, stability, and function, ultimately preventing long-term complications such as post-traumatic osteoarthritis. Open reduction and internal fixation have been the traditional approach but are associated with significant morbidity, including extensive soft-tissue damage and infection risk. Arthroscopically assisted reduction and internal fixation have emerged as a minimally invasive alternative that allows for precise fracture reduction, direct assessment of intra-articular soft-tissue injuries, and lower complication rates. This review discusses the indications, surgical technique, advantages, limitations, outcomes, and future perspectives of ARIF in the management of tibial plateau fractures.
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spelling doaj-art-e11a222e3d9d40b092d8a19d88884e692025-08-20T02:36:30ZengIndian Orthopaedic Research GroupJournal of Orthopaedic Case Reports2250-06852321-38172025-06-011565810.13107/jocr.2025.v15.i06.5642Arthroscopically Assisted Reduction and Internal Fixation for Tibial Plateau FracturesMainak RoyMadhan JeyaramanNaveen JeyaramanAshok ShyamTibial plateau fractures are complex intra-articular injuries resulting from high-energy trauma in young patients or low-energy mechanisms in osteoporotic individuals. Proper management is crucial to restore joint congruity, stability, and function, ultimately preventing long-term complications such as post-traumatic osteoarthritis. Open reduction and internal fixation have been the traditional approach but are associated with significant morbidity, including extensive soft-tissue damage and infection risk. Arthroscopically assisted reduction and internal fixation have emerged as a minimally invasive alternative that allows for precise fracture reduction, direct assessment of intra-articular soft-tissue injuries, and lower complication rates. This review discusses the indications, surgical technique, advantages, limitations, outcomes, and future perspectives of ARIF in the management of tibial plateau fractures.https://jocr.co.in/wp/2025/06/01/arthroscopically-assisted-reduction-and-internal-fixation-for-tibial-plateau-fractures/arthroscopyassisted reductiontibial plateauinternal fixation
spellingShingle Mainak Roy
Madhan Jeyaraman
Naveen Jeyaraman
Ashok Shyam
Arthroscopically Assisted Reduction and Internal Fixation for Tibial Plateau Fractures
Journal of Orthopaedic Case Reports
arthroscopy
assisted reduction
tibial plateau
internal fixation
title Arthroscopically Assisted Reduction and Internal Fixation for Tibial Plateau Fractures
title_full Arthroscopically Assisted Reduction and Internal Fixation for Tibial Plateau Fractures
title_fullStr Arthroscopically Assisted Reduction and Internal Fixation for Tibial Plateau Fractures
title_full_unstemmed Arthroscopically Assisted Reduction and Internal Fixation for Tibial Plateau Fractures
title_short Arthroscopically Assisted Reduction and Internal Fixation for Tibial Plateau Fractures
title_sort arthroscopically assisted reduction and internal fixation for tibial plateau fractures
topic arthroscopy
assisted reduction
tibial plateau
internal fixation
url https://jocr.co.in/wp/2025/06/01/arthroscopically-assisted-reduction-and-internal-fixation-for-tibial-plateau-fractures/
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AT naveenjeyaraman arthroscopicallyassistedreductionandinternalfixationfortibialplateaufractures
AT ashokshyam arthroscopicallyassistedreductionandinternalfixationfortibialplateaufractures