Introduction and Objectives: The aim of this study was to assess the results seen in patients with fracture of the tibial plateau treated by closed reduction and osteosynthesis under arthroscopic control. It is also the aim of this study to vindicate the use of the arthroscopic technique.

Materials and Methods: We carried out a retrospective study of 17 patients with external tibial plateau fracture Shatzker type I, II and III, treated by reduction and percutaneous osteosynthesis under arthroscopic control. We performed a metaphysis fill with iliac crest graft material. We determined the incidence of associated intraarticular lesions. Mean follow-up was 27 months. We assessed range of mobility, pain (VAS), muscular force with an isokinetic test and joint status by means of the Rasmussen scale.

Results: Mean age was 38 years with a mean time to intervention of 8 days. We found associated intraarticular lesions in 8 cases, 7 meniscal ruptures and 1 ACL rupture. The mean range of mobility was 125°. The mean loss of force was 15% in comparison with the contralateral leg determined by isokinetic studies. Results were satisfactory in 85% of cases according to the Rasmussen scale.

Discussion and Conclusions: The treatment of fractures of the external tibial plateau, Schatzker type I – II – III by closed reduction under arthroscopic control makes it possible to diagnose and treat associated intraarticular lesions and obtain good to excellent functional results in most cases.

Introduction and Objectives: In distal avulsion of the biceps, the treatment of choice is re-attachment of the tendon. The aim of this study is to compare both surgical techniques.

Materials and Methods: Between September 2004 and February 2007, 22 consecutive patients with distal biceps rupture were randomly assigned to one of the 2 treatment groups. In group A, 11 patients underwent tendon reattachment with an Endobutton^® through a single anterior incision and in group B, 11 patients underwent tendon reattachment by means of a procedure using 2 bioabsorbable Panaloc^® harpoons placed through a double anterior and posterior approach. Mean age and interval between rupture and surgery were similar in both groups.

Results: Mean operation time was 44 minutes in group A and 65 minutes in group B. There were no complications in group A. Two patients in group B suffered transient neurapraxia of the posterior interosseous nerve and 2 presented heterotopic ossification. At 12 months there were no significant differences in the Mayo Elbow Performance Score, mobility, time of return to work or strength.

Discussion and Conclusions: Although both groups had similar functional results, anterior repair using an Endobutton must be considered the technique of choice for distal biceps avulsions because of the shorter operation time and less morbidity.

Introduction and Objectives: Currently ACL reconstruction is one of the most frequent procedures in Trauma and Orthopedic Surgery. The aim of our study is to analyze the epidemiology of this lesion in the workplace.

Materials and Methods: We retrospectively reviewed 268 cases of ACL reconstruction using autologous semitendinosus and rectus medialis muscles. All these surgeries were performed at Fremap Majadahonda during 2005–2006. We excluded patients with concomitant lesion of the PCL and revision surgeries of ACL plasties. We compared the findings of the preoperative MRI and findings during surgery with respect to existent meniscal and chondral lesions.

Results: We found that the median time elapsed between the occurrence of the lesion and surgery was 2.2 months and from the lesion to MRI was 1.7 months. On MRI we found 47% of meniscal lesions and 9.5% of chondral lesions, in comparison with 56% and 13% found during surgery.

Discussion and Conclusions: More than half our patients had meniscal lesions associated with their ACL tear. We found more meniscal and chondral lesions during surgery than in the preoperative images. We present a stratified statistical study of the differences seen.