• Kivanc Atesok, M Nedim Doral, Terry Whipple, Gideon Mann, Omer Mei-Dan, O Ahmet Atay, Yiftah Beer, Joseph Lowe, Michael Soudry, and Emil H Schemitsch.
• Musculoskeletal Research Lab, Division of Orthopaedics, St. Michael's Hospital, 30 Bond Street, Shuter Wing 5-076, Toronto, ON, M5B 1W8, Canada. kivanc.atesok@utoronto.ca
• Knee Surg Sports Traumatol Arthrosc. 2011 Feb 1;19(2):320-9.

Purposethe purpose of this article was to systematically analyze the results of published studies in the literature which evaluated the use of arthroscopically assisted techniques in intra-articular fracture fixation.Methodspublished investigations to date were analyzed by classifying them according to joints that were involved with intra-articular fractures including: knee, ankle, hip, shoulder, elbow, and wrist joints. The results were studied to assess the feasibility, efficiency, and outcomes of arthroscopy-assisted fracture fixation.Resultsarthroscopy-assisted techniques have been used successfully for the treatment of fractures of the tibial plateau, tibial eminence, malleoli, pilon, calcaneus, femoral head, glenoid, greater tuberosity, distal clavicle, radial head, coronoid, distal radius, and scaphoid. The major advantages of arthroscopic fracture fixation over open methods are direct visualization of the intra-articular space, decreased invasiveness, and the possibility for multitask interventions through which fixation of the fracture, and repair of the soft tissues and the cartilage can be performed simultaneously. The time-consuming and technically demanding nature of the procedures with a prolonged learning curve and limited fixation alternatives are the main disadvantages of this technique.Conclusionarthroscopic fixation is increasingly utilized for certain intra-articular fracture types due to the minimally invasive nature of the procedures and high accuracy. Randomized controlled trials are needed to justify wider use of arthroscopy-assisted techniques for treatment of intra-articular fractures.

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