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The use of bidirectional rapid reductor in minimally invasive treatment of bicondylar tibial plateau fractures: preliminary radiographic and clinical results

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Figure

Fig. 1 A 34-year-old male sustained a closed complex tibial plateau fracture after automobile collision
Table 2 X-ray measurement of the 21 tibial plateau fractures
Fig. 3 Two 2.5 mm Kirschner wires were firstly inserted through distal tibia and superior femoral condyle (a traction bow (a), each Kirschner wire was attached tob), The carbon fiber rod connected the proximal traction bow to the scaffold which straddled the lower leg (c), the distal tractionbow was attached to the rotary handle located on the scaffold (d)
Fig. 4 Intraoperative process of the newly proposed treatment. Demonstration of the interaction forces acting on the distal tibia and superiorfemoral condyle (a, arrow), percutaneous reduction of the depressed fragments (b), the insertion of autogenous bone graft to support thearticular surface (c), After reduction and internal fixation under fluoroscopic visualization, arthroscopy revealed a nearly anatomic reduction oflateral articular (d), Seven minimal incisions after the operation, four for percutaneous insertion of plates, one for indirect reduction of depressedfragments and two for arthroscopic inspection (e)
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