Arthroscopy assisted fixations for bone fractures and fractures around joints
- Young male of age 34 years going to work on his scooter meets with an accident and fells over his right knee. This has caused a valgus knee injury thus causing proximal tibia fracture. he was evaluated in detail and we have managed him with dual plating for proximal tibia with arthroscopy assisted reduction of tibiofemoral joint.
- Young male software employee falls over stairs and supports his weight by his arm. he sustained and distal radius comminuted intra articular fracture. We did three column fixations of distal radius with arthroscopic assisted reduction of radiocarpal joint.
- Earlier surgeons depend on only intraoperative radiographs for viewing joint congruency but with arthroscopy now surgeons have an option of viewing real time image of articular surface directly and correct articular malreduction.
Risks associated with periarticular fractures (fracture around joints)
- Stiffness.
- Articular steps leading to arthritis.
- May be associated with ligament injuries.
Advantages of arthroscopic assisted fixations
- Supervised reduction and fixation of intraarticular fractures
- Simultaneous repair of ligament injuries
- Decreased chances of arthritis
- Long term good functional outcome and full range of movements
Department of Orthopaedics, Joint Replacement and Sports Medicine
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