Arthroscopic Fixation of Tibial Intercondylar Eminence Fracture by Fiber Wire Suture and U Screws in Adolescent Athletes

Year 2017, , 1 - 6, 28.12.2017

Murat Çalbıyık , Tuba Denizci

https://doi.org/10.19127/mbsjohs.332789

Abstract

Objective: We aimed to
present our experience on arthroscopic management of tibial intercondylar
eminence fracture in adolescent athletes.

Methods: This was a
case series of 9 adolescents (7 males, 2 females) aged 10-16 years diagnosed
with tibial intercondylar eminence fracture following a sports activity.
According to Meyers and McKeever classification, 4 patients had Type IIIA, 3
had Type IIIB, and 2 patients had Type II fracture. Following percutaneous
arthroscopic reduction, the fragments of the fracture were fixed internally and
anterior cruciate ligament was reconstructed through two 2.4 mm parallel
tunnels at the level of anterior tibia by using fiber wire suture and U screws.
Anterior tibial displacement was measured by KT-1000 knee arthrometer, and
Lysholm Knee Scoring Scale was used for the patient-reported outcomes.

Results: The duration
of operation was 31.6±8.9 min. The patients were followed up for 37.1±19.1 months.
Theanterior tibial displacement relative to the femur was 1.4±0.7 mm.
TheLysholm score was 95.8±3.1. None of the patients developed infection. The
complete fracture healing was obtained in all patients.

Conclusion: Arthroscopic
reduction and internal fixation by fiber wire suture and U screws provide
perfect anatomic and functional outcome for displaced Type II and Type III
tibial intercondylar eminence fracture in adolescent athletes.

Keywords

adolescent, sport injury, knee joint, arthroscopic reduction, tibial intercondylar eminence fracture

References

• 1. Prof. Tahsin Beyzadeoglu, MD [e-mail]
• 2. Assoc. Prof. Önder ERSAN ,MD [e-mail]
• 3. Assoc. Prof. Serhan ÜNLÜ ,MD [e-mail]