Arthroscopic treatment of intercondylar eminence fractures with intraepiphyseal screws in children and adolescents.
Orthop Traumatol Surg Res
; 102(4): 447-51, 2016 06.
Article
en En
| MEDLINE
| ID: mdl-27052935
ABSTRACT
INTRODUCTION:
Tibial intercondylar eminence fracture rarely occurs in childhood. Its treatment requires anatomic reduction to provide knee stability and a rigid fixation to minimize postoperative immobilization time.HYPOTHESIS:
Arthroscopy combined with fluoroscopy with intra-epiphyseal ASNIS screw fixation can meet the requirements of this treatment. MATERIAL ANDMETHODS:
The series comprised 24 patients (mean age 11 years) with Meyers and McKeever type II tibial intercondylar eminence fractures (n=15) or type III (n=9), operated on between 2011 and 2013. Fixation with 4-mm ASNIS screws was placed arthroscopically. The demographic data, associated lesions, radiological union, stability, functional result, and the Lysholm score were evaluated.RESULTS:
With a mean follow-up of 2 years, the mean Lysholm score was 99.3 for type II and 98.6 for type III fractures. At the 6th postoperative week, range of motion in the operated knees was identical to the healthy knees. At the 12th postoperative week, there was no sign of anterior laxity. Twelve cases included meniscal entrapment, but no significant difference was observed in the functional results. DISCUSSION,CONCLUSION:
ASNIS screw fixation under arthroscopy can be successfully applied in the treatment of types II and III tibial intercondylar eminence fractures in children. This technique provides excellent stability, allows early weigh-tbearing, and preserves function of the knee and its growth. LEVEL OF EVIDENCE IV, retrospective study.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Artroscopía
/
Fracturas de la Tibia
/
Tornillos Óseos
/
Fracturas Intraarticulares
/
Fijación Interna de Fracturas
Tipo de estudio:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adolescent
/
Child
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Orthop Traumatol Surg Res
Año:
2016
Tipo del documento:
Article