Arthroscopic-Assisted Fixation of Tibial Spine Fractures

IF 0.2 Q4 ORTHOPEDICS
Sami Chergui , Alicia Kerrigan , Justin Drager
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引用次数: 0

Abstract

Tibial spine fractures (TSF) are an avulsion injury of the anterior cruciate ligament (ACL) at the insertion on the tibial plateau. These injuries predominantly affect the pediatric population and are important to treat appropriately as they act similarly to complete ACL injuries. The decision to pursue surgical management is dictated mostly by fracture displacement, but also by various factors such as concomitant injuries, age and level of activity. Multiple fixation strategies are available, ranging from transosseous suture and suture anchors to the use of screws, staples, or absorbable nails.

This technique paper describes the author's preferred technique involving an arthroscopic assisted reduction of the tibial spine fracture and transosseous suture fixation. High tensile nonabsorbable sutures are passed through the base of the ACL which are then passed through two 2.4 mm transosseous tunnels tied over a bone bridge on the anterior medial tibia.

An arthroscopic approach has been reported to have similar positive outcomes when compared to open reductions. Furthermore, the transosseous suture construct has been described to be advantageous biomechanically and to yield satisfactory results when compared to alternative fixation options.

关节镜辅助固定胫骨脊柱骨折。
胫骨棘骨折(TSF)是前交叉韧带(ACL)在胫骨平台插入处的撕脱性损伤。这类损伤主要发生在儿童群体中,由于其作用与前十字韧带完全损伤类似,因此适当治疗非常重要。是否进行手术治疗主要取决于骨折移位情况,但也取决于各种因素,如合并伤、年龄和活动量。有多种固定策略可供选择,从经骨缝合和缝合锚到使用螺钉、订书钉或可吸收钉。本技术论文介绍了作者的首选技术,包括关节镜辅助下的胫骨脊柱骨折复位和经骨缝合固定。高强度不可吸收缝合线穿过前交叉韧带基部,然后穿过两个 2.4 毫米的经骨隧道,绑在胫骨前内侧的骨桥上。此外,与其他固定方法相比,经骨缝合结构在生物力学方面具有优势,并能产生令人满意的效果。
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来源期刊
CiteScore
0.40
自引率
0.00%
发文量
40
审稿时长
83 days
期刊介绍: Operative Techniques in Orthopaedics is an innovative, richly illustrated resource that keeps practitioners informed of significant advances in all areas of surgical management. Each issue of this atlas-style journal explores a single topic, often offering alternate approaches to the same procedure. Its current, definitive information keeps readers in the forefront of their specialty.
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