Arthroscopic Treatment of Schatzker Type III Tibial Plateau Fractures Using a Combination of Bioabsorbable Interference Screws and Cannulated Screws

Source: PubMed Central Open Access, NCBI / U.S. National Library of Medicine

Abstract Schatzker type III tibial plateau fractures, characterized by a pure depression of the lateral articular surface, predominantly affect osteoporotic, middle‐aged, and elderly patients. Successful management requires anatomical reduction and stable fixation to minimize complications like post‐traumatic arthritis. Conventional open reduction and internal fixation, which involves extensive soft‐tissue dissection and relies on fluoroscopic assessment, often fails to address concomitant intra‐articular injuries. Utilizing advancements in arthroscopy and bioabsorbable implants, we propose a technique combining arthroscopic‐assisted reduction with a composite fixation construct of bioabsorbable interference and cannulated screws. This method provides direct visualization for precise reduction, minimizes soft‐tissue trauma, and creates a biomechanically stable environment for early rehabilitation, integrating minimally invasive principles with effective fracture stabilization. © 2026 WILEY‐VCH GmbH http://www.w3.org/1999/xlink anchor jats-graphic-1 portrait ATN2-15-e70115-g004.webp anchor graphic portrait graphical