Pediatric tibial eminence fractures: arthroscopic treatment using K-wire.
Scand J Surg
; 99(1): 38-44, 2010.
Article
en En
| MEDLINE
| ID: mdl-20501357
ABSTRACT
BACKGROUND:
Fractures of the tibial intercondylar eminence are observed mostly in children and adolescents, often after minimal trauma. The purpose of this paper is to evaluate the use of K-wire fixation for the arthroscopic treatment of tibial eminence fractures in children. PATIENTS ANDMETHODS:
From January 2002 through January 2009 ten patients were treated arthroscopically because of the intercondylar eminence fracture in a Department of pediatric surgery, University Hospital Split. Arthroscopically controlled reposition was done, and using mobile X-ray two crossed K-wires were introduced percutaneously from the proximal part of the tibia to the fractured intercondylar eminence. Subjective outcome was obtained using IKDC subjective questionnaire.RESULTS:
Average hospitalization time was 11 days. Average duration of treatment was 12.5 weeks. Average follow-up was 42 months. Follow-up radiographs showed union in all cases. The mean IKDC subjective score was 96/100. Clinically, all patients exhibited a solid endpoint on the Lachman test. The global IKDC objective score was normal in eight knees and nearly normal in two knees.CONCLUSION:
Arthroscopic reduction and fixation by Kirschner wires or a small fragment screw is the best way for treatment intercondylar tibial eminence fractures, in the pediatric population, because is not crossing the epiphyseal plate.
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Base de datos:
MEDLINE
Asunto principal:
Artroscopía
/
Fracturas de la Tibia
/
Hilos Ortopédicos
/
Fracturas Intraarticulares
/
Fijación Interna de Fracturas
/
Traumatismos de la Rodilla
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Risk_factors_studies
Límite:
Adolescent
/
Child
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Scand J Surg
Año:
2010
Tipo del documento:
Article
País de afiliación:
Croacia