Retrospective analysis of 602 operatively treated tibial plateau fractures at a Level I trauma center examining the true intraoperative incidence of lateral meniscal tears requiring repair, stratified by fracture pattern using Schatzker and OTA classifications.
When fixing a tibial plateau fracture, plan for submeniscal arthrotomy and direct meniscal inspection in every case — expect a repairable tear in roughly 1 in 3 patients overall, and nearly 1 in 2 with a split depression pattern.
Don't let a negative or equivocal preoperative MRI lower your vigilance intraoperatively.
Retrospective analysis of 602 operatively treated tibial plateau fractures at a Level I trauma center examining the true intraoperative incidence of lateral meniscal tears requiring repair, stratified by fracture pattern using Schatzker and OTA classifications.
When fixing a tibial plateau fracture, plan for submeniscal arthrotomy and direct meniscal inspection in every case — expect a repairable tear in roughly 1 in 3 patients overall, and nearly 1 in 2 with a split depression pattern.
Don't let a negative or equivocal preoperative MRI lower your vigilance intraoperatively.