Affiliations: [a] Orthopaedics and Traumatology Clinic, Okmeydanı Research and Training Hospital, İ!stanbul, Turkey | [b] M.S. Baltalimanı Bone Diseases Research and Training Hospital, İstanbul, Turkey | [c] Radiology Clinic, Darıca Farabi Government Hospital, Kocaeli, Turkey
Correspondence:
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Corresponding author: Ali Çağrı Tekin, Orthopaedics and Traumatology Clinic, Okmeydanı Research and Training Hospital, İstanbul, Turkey. Tel.: +90 5053495501; E-mail:cagrtekin@yahoo.com
Abstract: BACKGROUND: Soft tissue injuries may co-occur with tibial plateau
fractures. These injuries may include medial or lateral ligament ruptures,
peroneal nerve lesions, anterior cruciate ligament ruptures, and meniscus
tears. OBJECTIVE: The aim of this study was to investigate the frequency
of meniscus tears in lateral tibial plateau fractures and to evaluate the
clinical and radiological results of meniscus repairs. MATERIALS AND METHOD: The study included 19 patients who underwent
surgery for a closed lateral tibial plateau fracture. Anteroposterior and
lateral radiographs of the knee, followed by magnetic resonance imaging
(MRI) examinations, were undertaken for all cases. The clinical and
radiological evaluation of the surgical treatment results was performed
according to the Rasmussen criteria. RESULTS: Meniscus lesions were found in 10 (52.6%) patients.
Nine meniscus tears were found in patients with type 2 fractures, and one
meniscus tear was found in a patient with a type 3 fracture. All of the
menisci were separated from the peripheral capsule adhesion point. On the
MRI examination during follow-up, all of the repaired lateral menisci were
determined to be in their original anatomic location. CONCLUSION: For successful outcomes in lateral plateau fractures,
it is essential to determine whether there is a meniscus tear. In cases with
meniscus tears, meniscus repair can be easily performed and should be
considered because it has a positive impact on the treatment outcome.
