Objective:

The objective of this study is to explore the experience and the results of Schatzker1 I-IV tibial plateau fractures internal fixation technique (ARIF) with arthroscopic assistance

Methodology:

A systematic review was carried out in different search engines such as Pubmed and Lilacs. The same methodology was applied by two independent reviewers using MESH terms “Tibial Fracture”, “Arthroscopic”. Articles published in the last 5 years (2014 to September 2020) were included, showing clinical results of the procedures, in English or Spanish, in humans and over 18 years of age.

Results:

Following the inclusion criteria, 114 titles were identified, and finally 9 articles were included in our systematic review. Of the 9 articles reviewed, 5 were case series (level of evidence IV), 3 retrospective comparative studies between open reduction and internal fixation techniques (ORIF) and ARIF with level of evidence III and one study was level of evidence I. A total of 217 patients underwent ARIF surgery in our review, the average follow-up time was 24.9 months (12-90 m), in terms of the type of fracture, the most frequent were Schatzker II tibial plateau fractures and III, the most frequent associated injury was meniscal injury followed by anterior cruciate ligament tear. Regarding the total percentage of results obtained independently of each score used, approximately 98% obtained good or excellent results. The percentage of complications with arthroscopic assistance turned out to be approximately 6.5%, the most frequent complication being deep vein thrombosis with 6 cases.

Conclusions:

From our review we can conclude that arthroscopic assistance is useful in the treatment of Schatzker I-IV tibial plateau fractures, since it provides satisfactory functional results, without increasing the number of complications and allows treating associated injuries simultaneously.

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