Tratamiento artroscópico y por mínimo acceso de las fracturas de la meseta tibial.

Introduction: arthroscopic treatment and minimal access to fractures of the tibial plateau does not constitute, at present, an unattainable chimera, this procedure can be performed in services that have arthroscopy. Objective: to describe the results of the treatment of fractures of the tibial plateau degrees I, II and III of the Schatzker classification by means of arthroscopy and minimal access surgery. Methods: a retrospective descriptive study was carried out on 18 patients who were operated on at the Hospital Provincial General Universitario "Mártires del 9 de Abril" in Sagua la Grande in the period from January 1, 2013 to December 31, 2017, and who presented fracture of the tibial plateau degrees I, II and III of Schatzker's classification and who were assisted by means of arthroscopy, minimal access surgery for reduction and osteosynthesis. Results: out of the total number of patients, 15 corresponded to the male sex, with an average age of 41.4 years. According to Schatzker's classification, it is the type II of these fractures that occurred the most. They were evaluated as excellent and good in 17 cases (94.3%) and regular one (5.5%) according to the Rasmussen clinical and radiographic evaluation scale for tibial plateau fractures. Conclusions: It is an effective treatment and of first indication for the fractures of the external tibial plateau I, II and III of Schatzker in the services that have arthroscopy. [ABSTRACT FROM AUTHOR]