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A simple method for bone graft insertion during Schatzker II and III plateau fixation
Donald Adams1, Jay N Patel1, Vineet Tyagi2
1Division of Orthopaedic Trauma and Adult Reconstruction, Department of Orthopaedic Surgery, Jersey City Medical Center - RWJBarnabas Health, 355 Grand Street, Jersey City, NJ, 07302, USA.
Summary
A modified Seldinger technique simplifies bone grafting for tibial plateau fractures. This method improves accuracy and ease when filling metaphyseal defects and supporting subchondral bone.
Area of Science:
- Orthopedic surgery
- Traumatology
- Bone grafting techniques
Background:
- Schatzker type II and III tibial plateau fractures often require bone grafting for metaphyseal defects and subchondral support.
- Current methods for graft insertion can be technically demanding, especially when working against gravity through small portals.
Observation:
- Accurate placement of bone graft material is crucial for successful fracture fixation and healing.
- Challenges include directing the graft precisely and achieving adequate density within the defect.
Findings:
- A modified technique using a 3-mL syringe, bone tamps, and the Seldinger technique was developed.
- This approach simplifies the procedure, enhancing accuracy and efficiency for bone graft delivery.
Implications:
- This method offers a more manageable solution for surgeons performing bone grafting in complex tibial plateau fractures.
- Improved graft placement can lead to better patient outcomes and reduced surgical complexity.
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