Arthroscopic treatment of tibial intercondylar eminence fractures in children with single Kirschner wire and suture avoiding epiphyseal line fixation technique / 中国骨伤
China Journal of Orthopaedics and Traumatology
; (12): 504-507, 2015.
Article
em Zh
| WPRIM
| ID: wpr-241006
Biblioteca responsável:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To discuss arthroscopic technique of single Kirschner wire and suture avoiding epiphyseal line fixation for tibial intercondylar eminence fracture and its clinical results.</p><p><b>METHODS</b>From May 2008 to December 2012, 21 patients (13 males, 8 females, ranging in age from 6 to 14 years old) with tibial intercondylar eminence fracture were treated arthroscopically with single Kirschner wire and suture avoiding epiphyseal line fixation technique. According to Meyers and McKeever classification, 7 patients were type II, 10 patients were type III, and 4 patients were type IV. Active rehabilitation began at one week after operation. The patients were followed up for 10 to 30 months. X-ray films were taken to evaluate fracture healing at 1, 3, 6 months after operation; range of motion, the anterior drawer test, the lachman test and the Lysholm knee score were used to evaluate clinical effects.</p><p><b>RESULTS</b>All fractures were healed without displacement at 6 weeks after operation. Anterior drawer test and the lachman test were both negative in all patients at 3 months after operation. Lysholm knee score was 95.5 ±2.5 at 6 months after operation, and postoperative X-ray film did not find epiphyseal line broadening or narrowing.</p><p><b>CONCLUSION</b>Arthroscopic treatment for tibial eminence intercondylar fracture with single Kirschner wire and 8-shaped suture avoiding epiphyseal line fixation technique has many advantages, such as firm fixation,early mobilization, less invasive, less injury of physis and satisfactory effect.</p>
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1
Base de dados:
WPRIM
Assunto principal:
Artroscopia
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Cirurgia Geral
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Suturas
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Fraturas da Tíbia
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Fios Ortopédicos
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Fixação Interna de Fraturas
Limite:
Adolescent
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Child
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Female
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Humans
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Male
Idioma:
Zh
Ano de publicação:
2015
Tipo de documento:
Article