最新 胫骨髁间嵴骨折

suture fixation is biomechanically stronger than screw fixation.
Surgical Technique
Created a central transpatellar portal
a superior percutaneous 4.5-mm K-wire may be used to
Arthroscopic Reduction and Internal Fixation of Tibial Eminence Fractures
once thought to occur only in the pediatric population,
in adults as well.
Fractures of the tibial intercondylar eminencewenku.baidu.com
At the conclusion of the procedure, the wounds are closed in routine fashion and a sterile dressing is applied. A locked hinge brace and crutches are u
The ability to arthroscopically 1.evaluate the fracture pattern 2.address concomitant intraarticular pathology.
Cannulated screw fixation has been shown to have good strength and fracture stabilization.
Existing problems 1.smaller or comminuted fracture fragments 2. The potential for hardware impingement with the subsequent loss of knee extension 3. coupled with the possibility of screw removal
obtain provisional fixation .
Surgical Technique
A No. 5 FiberWire is then shuttled through the base of
the ACL with the SutureLasso .
Surgical Technique
outer cannulated drill sleeve in place A Nitinol suture loop is then passed up through the outer cannulated drill bit into the knee.
Surgical Technique
Surgical Technique
The other end of the No. 5 FiberWire is shuttled in the
same manner out of the second drill hole. The reduction is confirmed, and the suture is then tied over a bony bridge on the anteriormedial cortex of the tibia .
The ACL guide system is used to drill 2 parallel tunnels
within the tibia.
Surgical Technique
unscrews and removes the inner drill bit while leaving the
Discussion
Arthroscopic has advanced to become the preferred
method of treatment
The addition of the cannulated drill significantly
simplifies the process of suture passage while maintaining fracture reduction and minimizing surgical steps.
At the conclusion of the procedure, the wounds are closed in routine fashion and a sterile dressing is applied. A locked hinge brace and crutches are u
One end of the No. 5 FiberWire is then shuttled by use of
the Nitinol loop from the working portal down the medial tunnel and out the anterior aspect of the tibia.