**8. References**


Posttraumatic arthritis in 4a patient with bicondylar fracture could be a good indication for total knee replacement. In only 4% of cases the restore of the entire surface of the tibial plateau was not achieved. The varum deviation was finally observed in 3% of patients, with

This kind of articular fractures requires perfect alignment of fracture's fragments. It is

Beside the standard treatment with one or two plates and screws, one could use the reduction of the fracture's fragment with K wire under Xray and arthroscopic control, and then fix the fragments with K wire and screws. First of all it is important to establish the fracture's type. Schatzker classification is commonly used for their identification. The preoperative planning is necessary and also the X-ray and CT scan. For this technique different kind of material is used: K wire, screws, external fixation, fluoroscope, and

The role of arthroscopy in these fractures is twofold: 1. To confirm the quality of a good reduction, 2. To accurately asses and treat the associated lesions of the soft tissue – menisci,

This minimal invasive technique is useful for the treatment of this kind of fractures and in

Good results are obtained by using this method ( Cristea et al., 2010) in the surgical treatment of tibial plateau fractures. This technique is adapted to resolve all tibial fractures

The advantages of this method are: minimal blood lost, small infection rate, good mobilization of the knee without pain, cheaper implants, reproductibility of the technique, it

A single dose of antibiotics is admninistrated during surgery and anticoagulant for

Asik M, Cetik O, Talu U, Sozen YV. Arthroscopy-assisted operative management of tibial plateau fractures. Knee Surg Sports Traumatol Arthrosc 2002;10:364—70. Bobic V., O'Dwyer K. J. Tibial plateau fractures: the arthroscopic option Knee surg, sports

Buchko GM, Johnson DH: Arthroscopy assisted operative management of tibial plateau

Cassard X, Beaufils P, Blin JL, Hardy P. Osteosynthesis under athroscopic control of

Casteleyn P.P., Handelberg F.: Fractures of the upper part of the tibia , Surgical Techniques

Cristea St., Prundeanu A., Groseanu F., Atasiei T.: Minimal invasiv treatment of tibial

August - 3 September 2010 in Gothenburg, Sweden poster 23768; 2010

in Orthopaedics and Traumatology, Elsevier, 55-510-A-10, 2001

separated tibial plateau fractures. 26 case reports. Rev Chir Orthop 1999;85: 257—

plateau fractures Seventh SICOT/SIROT Annual International Conference on 31

difficult to treat these fracture especially type V and type VI Schatzker.

type, not only Schatzker I – III, like some authors ( Siegler et al., 2011 ).

maximum value of 50.

**7. Conclusion** 

arthroscopy.

**8. References** 

66.

cruciate ligaments, capsular disruption.

can be made in emergency, cost - efficient.

Traumatol, Arthrosopy (1993) 1: 239-242

fractures, Clin Orthop 332:29, 1996;

thrombembolism prophylaxis is done.

most cases has good outcome.


**11** 

*1,4,5India 2Australia 3Hong Kong* 

**Arthroscopy Following Total Knee Replacement** 

Total Knee replacement although an extremely successful procedure is occasionally complicated by conditions such as pain of unknown etiology, clunk and stiffness. Diagnosing and managing the patients with pain and dysfunction following joint replacement is difficult and can be challenging. The underlying cause could be impinging soft tissue under the patella with the clunk syndrome, impinging hypertrophic synovitis elsewhere in the knee, impinging PCL stump, prosthesis loosening and wear, arthrofibrosis

a. Medial Aspect of knee b. Patella with femoral Component.

Synovium d. Poly Insert with Cam e. Suprapatellar pouch

**1. Introduction**

and subclinical infections.

c. Hypertrophied

Fig. 1a. Normal Arthroscopic appearance after TKR

Vaibhav Bagaria1, Jami Ilyas2, Bhawan Paunipagar3,

*Organ Imaging Prince of Wales Hospital and Child Cancer Centre,* 

*1Columbia Asia Hospital and ORIGYN Clinic, Ghaziabad,* 

Darshna Rasalkar4 and Rohit Lal5

*3Department of Diagnostic Radiology and* 

*4Kokilaben Dhirubhai Ambani Hospital, Mumbai, 5ORIGYN Clinic, INDIRAPURAM, Ghaziabad,* 

*2Royal Perth Hospital, Perth,* 

