2021, Number 2
<< Back Next >>
Acta Med 2021; 19 (2)
Arthroscopic management of tibial spine fracture with TightRope in pediatric patient
Ochoa CR, Narváez CRG
Language: Spanish
References: 7
Page: 262-266
PDF size: 205.94 Kb.
ABSTRACT
Fractures of the tibial spine in pediatric patients are a challenge for surgical treatment because of risk of damage to the physis and the fragment itself. There have been different techniques in development, from which arthroscopic treatment remains the best option for faster rehabilitation, as well as preservation of the physis or the least possible disruption of it, and no need for a second procedure for implant removal. The use of TightRope system in both ends of the fixation allows for optimal reduction with preservation of the tibial spine fragment and the physis with little to no growth compromise.
REFERENCES
Bailey MEA, Wei R, Bolton MS, Richards, RH. Paediatric injuries around the knee: bony injuries. Injury. 2019; 51 (3): 611-619.
Canale ST, Beaty JH. Fractures and dislocations in children. En: Azar FM, Canale ST, Beaty JH. Campbell's operative orthopaedics. Philadelphia, PA: Elsevier/Mosby; 2016. pp. 1479-1481.
Elsaid, ANS, Zein AMN, ElShafie M, El Said NS, Mahmoud AZ. Arthroscopic single-tunnel pullout suture fixation for tibial eminence avulsion fracture. Arthrosc Tech. 2018; 7 (5): e443-e452.
Gamboa JT, Durrant, BA, Pathare NP, Shin EC, Chen JL. Arthroscopic reduction of tibial spine avulsion: suture lever reduction technique. Arthrosc Tech. 2017; 6 (1): 121-126.
Diwakar M. Management of ACL tear in paediatric age group: a review of literature. J Arthrosc Jt Surg. 2018; 5 (1): 9-14.
Loriaut P, Moreau PE, Boyer P. Arthroscopic treatment of displaced tibial eminence fractures using a suspensory fixation. Indian J Orthop. 2017; 51 (2): 187-191.
Hara K, Kubo T, Shimizu C, Suginoshita T, Hirasawa Y. Arthroscopic reduction and fixation of avulsion fracture of the tibial attachment of the anterior cruciate ligament. Arthroscopy. 2001; 17 (9): 1003-1006.