{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:37:52Z","timestamp":1787009872530,"version":"build-2736575974"},"reference-count":28,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,8]]},"abstract":"\n Objective:<\/jats:title>\n To analyze the anatomic accuracy of fracture reduction controlled by fluoroscopy as compared with arthroscopically assisted reduction (\u201cfracturoscopy\u201d) in patients with complex tibial plateau fractures (AO\/OTA 41-C). Quality of fracturoscopy-guided reduction was checked with postoperative computed tomography.<\/jats:p>\n <\/jats:sec>\n \n Design:<\/jats:title>\n Prospective observational study.<\/jats:p>\n <\/jats:sec>\n \n Setting:<\/jats:title>\n Urban level 1 trauma center.<\/jats:p>\n <\/jats:sec>\n \n Patients:<\/jats:title>\n Seventeen consecutive patients, with a complex, bicondylar tibial plateau fracture.<\/jats:p>\n <\/jats:sec>\n \n Intervention:<\/jats:title>\n The intraoperative, open insertion of an arthroscope (2.4-mm or 2.8-mm optics), to visualize the articular surface and fracture reduction.<\/jats:p>\n <\/jats:sec>\n \n Main Outcome Measurements:<\/jats:title>\n Ability to detect residual fracture depression or gap after previous open reduction under fluoroscopic guidance.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n An open fracture reduction with fluoroscopic guidance was performed in all cases. In 7 cases, open reduction and fluoroscopy resulted in satisfactory fracture reduction (fluoroscopy group). In 10 of 17 cases, subsequent \u201cfracturoscopy\u201d showed persistent fracture depression (\u22652 mm, fracturoscopy group) with the need for intraoperative correction. Patients in the fracturoscopy group demonstrated significantly greater preoperative fragment depression (12.55 \u00b1 6.56 mm) and a larger preoperative fracture gap (7.83 \u00b1 5.49 mm) compared with patients with a satisfactory reduction under fluoroscopy (depression 4.97 \u00b1 4.02 mm,\n P<\/jats:italic>\n = 0.016; gap 2.47 \u00b1 1.07 mm,\n P<\/jats:italic>\n = 0.023). Fluoroscopy was not successful in achieving satisfactory reduction in cases in which the postero-latero-central region was affected (\n P<\/jats:italic>\n = 0.004, \u03c7\n 2<\/jats:sup>\n test). Postoperative computed tomography demonstrated satisfactory articular reconstruction in all cases.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Intraoperative fracturoscopy permitted a significantly improved visualization of fracture fragment displacement, specifically in the postero-latero-central region of the tibial plateau, as compared with fluoroscopy. Fracturoscopy is recommended for fractures involving the postero-latero-central region of the tibial plateau.<\/jats:p>\n <\/jats:sec>\n \n Level of Evidence:<\/jats:title>\n Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.<\/jats:p>\n <\/jats:sec>","DOI":"10.1097\/bot.0000000000000569","type":"journal-article","created":{"date-parts":[[2016,3,19]],"date-time":"2016-03-19T12:47:32Z","timestamp":1458391652000},"page":"437-444","source":"Crossref","is-referenced-by-count":99,"title":["\u201cFracturoscopy\u201d is Superior to Fluoroscopy in the Articular Reconstruction of Complex Tibial Plateau Fractures\u2014An Arthroscopy Assisted Fracture Reduction Technique"],"prefix":"10.1097","volume":"30","author":[{"given":"Matthias","family":"Krause","sequence":"first","affiliation":[{"name":"Trauma and Reconstructive Surgery, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Achim","family":"Preiss","sequence":"additional","affiliation":[{"name":"Trauma and Reconstructive Surgery, and"},{"name":"Knee and Shoulder Surgery, Sports Traumatology, Asklepios Clinic St. Georg, Hamburg, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norbert M.","family":"Meenen","sequence":"additional","affiliation":[{"name":"Knee and Shoulder Surgery, Sports Traumatology, Asklepios Clinic St. Georg, Hamburg, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00fcrgen","family":"Madert","sequence":"additional","affiliation":[{"name":"Trauma and Reconstructive Surgery, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karl-Heinz","family":"Frosch","sequence":"additional","affiliation":[{"name":"Trauma and Reconstructive Surgery, and"},{"name":"Knee and Shoulder Surgery, Sports Traumatology, Asklepios Clinic St. Georg, Hamburg, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20230829","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1097\/00005131-198702010-00001","article-title":"Tibial plateau fractures: definition, demographics, treatment rationale, and long-term results of closed traction management or operative reduction","volume":"1","author":"Moore","year":"1987","journal-title":"J Orthopaedic Trauma."},{"key":"R2-20230829","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1007\/s00142-013-0801-9","article-title":"Arthroskopisch gest\u00fctzte frakturversorgung am Kniegelenk","volume":"27","author":"Krause","year":"2014","journal-title":"Arthroskopie"},{"key":"R3-20230829","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1097\/00005131-200411000-00001","article-title":"Complications associated with internal fixation of high-energy bicondylar tibial plateau fractures utilizing a two-incision technique","volume":"18","author":"Barei","year":"2004","journal-title":"J Orthopaedic Trauma."},{"key":"R4-20230829","doi-asserted-by":"crossref","first-page":"1281","DOI":"10.3928\/0147-7447-20041201-18","article-title":"Open reduction and internal fixation of 117 tibial plateau fractures","volume":"27","author":"Ebraheim","year":"2004","journal-title":"Orthopedics"},{"key":"R5-20230829","doi-asserted-by":"crossref","first-page":"673","DOI":"10.1097\/BOT.0b013e31818b1452","article-title":"Unstable bicondylar tibial plateau fractures: a clinical investigation","volume":"22","author":"Eggli","year":"2008","journal-title":"J Orthopaedic Trauma."},{"key":"R6-20230829","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1007\/s00113-012-2346-1","article-title":"Arthroscopy-assisted management of knee fractures [in German]","volume":"116","author":"Enderle","year":"2013","journal-title":"Unfallchirurg"},{"key":"R7-20230829","doi-asserted-by":"crossref","first-page":"987","DOI":"10.1007\/s00198-014-2965-1","article-title":"Calcium gluconate supplementation is effective to balance calcium homeostasis in patients with gastrectomy","volume":"26","author":"Krause","year":"2015","journal-title":"Osteoporos Int."},{"key":"R8-20230829","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1097\/00005131-200711101-00001","article-title":"Fracture and dislocation classification compendium\u20142007: orthopaedic trauma association classification, database and outcomes committee","volume":"21","author":"Marsh","year":"2007","journal-title":"J Orthop Trauma."},{"key":"R9-20230829","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1007\/s00402-003-0510-3","article-title":"Arthroscopic management of tibial plateau fractures\u2013comparison with open reduction method","volume":"123","author":"Ohdera","year":"2003","journal-title":"Arch Orthop Trauma Surg."},{"key":"R10-20230829","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1097\/00003086-199307000-00011","article-title":"Tibial plateau fractures. 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