Purpose: Tibial plateau fractures are articular fractures that are difficult to effectively manage. Although fluoroscopy typically is used during the surgical repair of tibial plateau fractures, this video demonstrates the use of arthroscopy to assist in the articular reconstruction of a Schatzker type III tibial plateau fracture.

Methods: The goal of surgical management of tibial plateau fractures is reconstruction of the articular surface followed by reestablishment of tibial alignment. Arthroscopy has been advocated as a possible supplement to the surgical management of tibial plateau fractures. Compared with traditional fluoroscopy, arthroscopy-assisted fracture reduction substantially improves visualization of fracture fragment displacement.

Results: This video demonstrates the use of arthroscopy to visualize the articular surface during fixation of a tibial plateau fracture. Initially, arthroscopy is used to confirm depression of the lateral tibial plateau. After fixation with the use of two partially threaded cancellous screws, arthroscopy is used to confirm articular reduction and normal relation of the lateral meniscus to the articular surface.

Conclusions: Arthroscopy is a reliable technique for assessment of articular reduction during surgical repair of a tibial plateau fracture. In addition, this technique allows for evaluation for soft-tissue injuries that may be missed.