caa a22 4500 605457573 CHVBK 20210128100224.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s00167-014-3256-2 doi (NATIONALLICENCE)springer-10.1007/s00167-014-3256-2 Clinical and radiological outcomes following arthroscopic-assisted management of tibial plateau fractures: a systematic review [Elektronische Daten] [Hong-Wei Chen, Guo-Dong Liu, Li-Jun Wu] Purpose: To carry out a systematic review of the literature on arthroscopic-assisted management (all types) of tibial plateau fractures to gain a more comprehensive understanding of clinical outcomes with this surgical technique, specifically to determine whether this may be a viable technique for the management of tibial plateau fractures. Methods: MEDLINE, Cochrane, and EMBASE databases were searched until July 2013 using combinations of the search terms: tibial plateau, fractures, and arthroscopically/arthroscopic/arthroscopy/percutaneous/minimally invasive. Inclusion criteria were observational study, patients with tibial plateau fractures, and clinical and radiological outcomes assessed using Rasmussen scoring system. The outcome measures of interest were clinical and radiological Rasmussen scores and the prevalence of secondary osteoarthritis. Results: A total of 12 studies, 5 prospective and 7 retrospective, involving 353 patients were included in the review. The majority of patients in most studies had Schatzker type I-III fractures. The graft material used varied between studies. The length of the follow-up was typically between 34 and 38months. Mean clinical Rasmussen scores ranged from 25.5 to 28.4. In each study, the majority (≥80%) of patients had excellent/good clinical Rasmussen scores. In each study, the majority (≥63%) of patients had excellent/good radiological Rasmussen scores. The proportion of patients who experienced secondary osteoarthritis was variable, ranging from 0 to 47.6%. Conclusions: The results of this systematic review indicate that arthroscopic-assisted management of tibial plateau fractures can be effective. Surgeons should consider using this approach when treating patients with tibial plateau fractures. Level of evidence: III. The Author(s), 2014 Arthroscopic nationallicence Clinical nationallicence Fracture nationallicence Outcome nationallicence Radiological nationallicence Systematic review nationallicence Tibial plateau nationallicence Chen Hong-Wei Department of Orthopedics, Wenzhou Medical College-Affiliated Yiwu Central Hospital, 322000, Yiwu, Zhejiang, People's Republic of China aut Liu Guo-Dong Department 8, Research Institute of Surgery, Daping Hospital, Third Military Medical University, 400042, Chongqing, People's Republic of China aut Wu Li-Jun Department of Orthopedics, Wenzhou Medical College-Affiliated Second Hospital, 325000, Wenzhou, Zhejiang, People's Republic of China aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/12(2015-12-01), 3464-3472 0942-2056 23:12<3464 2015 23 167 https://doi.org/10.1007/s00167-014-3256-2 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-014-3256-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Chen Hong-Wei Department of Orthopedics, Wenzhou Medical College-Affiliated Yiwu Central Hospital, 322000, Yiwu, Zhejiang, People's Republic of China aut NATIONALLICENCE 700 1- Liu Guo-Dong Department 8, Research Institute of Surgery, Daping Hospital, Third Military Medical University, 400042, Chongqing, People's Republic of China aut NATIONALLICENCE 700 1- Wu Li-Jun Department of Orthopedics, Wenzhou Medical College-Affiliated Second Hospital, 325000, Wenzhou, Zhejiang, People's Republic of China aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/12(2015-12-01), 3464-3472 0942-2056 23:12<3464 2015 23 167