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Plate and screw fixation of arthroscopically assisted tibial tuberosity osteotomy: technique and results.
Stevens, Jarrad M; Barton, Simon B; Alexander, Matthew; Eldridge, Jonathan D; Clark, Damian.
Affiliation
  • Stevens JM; Avon Orthopaedic Centre, Southmead Hospital, Bristol, BS10 5NB, UK. drjarradstevens@hotmail.com.
  • Barton SB; Knox Orthopaedic Group, Knox Private Hospital Melbourne, Melbourne, 3152, Australia. drjarradstevens@hotmail.com.
  • Alexander M; Aintree University Teaching Hospital, Longmore Lane, Liverpool, L9 7AL, UK.
  • Eldridge JD; Avon Orthopaedic Centre, Southmead Hospital, Bristol, BS10 5NB, UK.
  • Clark D; Avon Orthopaedic Centre, Southmead Hospital, Bristol, BS10 5NB, UK.
Eur J Orthop Surg Traumatol ; 30(1): 139-145, 2020 Jan.
Article in En | MEDLINE | ID: mdl-31456034
INTRODUCTION: We describe a fixation technique for tibial tuberosity osteotomies (TTO) utilising a plate and screw construct which adheres to established principles of bone healing. We record and discuss the complication profile and benefits of this technique. METHOD: The technique is outlined, and thirty consecutive case of TTO fixed with this combination of plate and screws were analysed during a study period from January 2018 to October 2018. All patients were followed up clinically to 3 months post-operation for the purpose of identifying early complications of surgery. Radiographic series were reviewed at 2, 6 and 12 weeks post-operation for evidence of fracture, loss of position, hardware failure and union. RESULTS: All cases went on to clinical and radiographic union by 12 weeks. We identified one case of hardware failure, one case of superficial infection and one case of stiffness requiring manipulation. CONCLUSION: We have found this technique of plate and screw construct to be effective in arthroscopically assisted TTO fixation leading to consistent union without loss of position with a low complication profile.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Osteotomy / Arthroscopy / Tibia / Intra-Articular Fractures / Joint Instability Type of study: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limits: Adult / Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: En Journal: Eur J Orthop Surg Traumatol Year: 2020 Document type: Article Country of publication:

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Osteotomy / Arthroscopy / Tibia / Intra-Articular Fractures / Joint Instability Type of study: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limits: Adult / Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: En Journal: Eur J Orthop Surg Traumatol Year: 2020 Document type: Article Country of publication: