• Int Orthop · Sep 2012

    Balloon osteoplasty--a new technique for reduction and stabilisation of impression fractures in the tibial plateau: a cadaver study and first clinical application.

    • Philipp Ahrens, Gunther Sandmann, Jan Bauer, Benjamin König, Frank Martetschläger, Dirk Müller, Sebastian Siebenlist, Chlodwig Kirchhoff, Markus Neumaier, Peter Biberthaler, Ulrich Stöckle, and Thomas Freude.
    • Department Traumatology, Technical University, Ismaningerstr 22, 81675 Munich, Germany. ph.ahrens@gmail.com
    • Int Orthop. 2012 Sep 1;36(9):1937-40.

    PurposeFractures of the tibial plateau are among the most severe injuries of the knee joint and lead to advanced gonarthrosis if the reduction does not restore perfect joint congruency. Many different reduction techniques focusing on open surgical procedures have been described in the past. In this context we would like to introduce a novel technique which was first tested in a cadaver setup and has undergone its successful first clinical application.MethodsSince kyphoplasty demonstrated effective ways of anatomical correction in spine fractures, we adapted the inflatable instruments and used the balloon technique to reduce depressed fragments of the tibial plateau.ResultsThe technique enabled us to restore a congruent cartilage surface and bone reduction.ConclusionsIn this technique we see a useful new method to reduce depressed fractures of the tibial plateau with the advantages of low collateral damage as it is known from minimally invasive procedures.

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