Arthroscopic treatment of an anterior cruciate ligament avulsion fracture in a skeletally immature patient.
نویسندگان
چکیده
Anterior cruciate ligament injuries in skeletally immature patients usually involve tibial bony avulsion fractures rather than the midsubstance tears usually observed in adults. Several surgical techniques have been reported to provide stable fixation and avoid physeal injury in this pediatric population. The authors propose a novel, reproducible surgical technique using bioabsorbable anchors to obtain biomechanical stability and minimal physeal or articular cartilage damage.
منابع مشابه
Medial and lateral segond fractures in a skeletally immature patient: a radiographic marker for the multiply injured knee.
Marginal fractures of the medial tibial plateau have been reported in the literature as a secondary type of Segond fracture. Some reports described this entity in the setting of combined injuries such as root avulsions of the medial meniscus, complete disruption of the posterior cruciate ligament (PCL), partial tear of the anterior cruciate ligament (ACL), and tears of the medial meniscus and m...
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The Segond fracture is defined as an avulsion of the proximal anterolateral tibial plateau region originally described by the French surgeon Paul Ferdinand Segond in 1879 [1,2]. This injury is widely accepted as a pathognomonic radiographic marker of anterior cruciate ligament (ACL) injury [1-3]. However, some reports describe this injury in the presence of an intact ACL in skeletally immature ...
متن کاملArthroscopic 4-point suture fixation of anterior cruciate ligament tibial avulsion fractures.
Tibial eminence avulsion fractures are rare injuries occurring mainly in adolescents and young adults. When necessary, regardless of patient age, anatomic reduction and stable internal fixation are mandatory for fracture healing and accurate restoration of normal knee biomechanics. Various arthroscopically assisted fixation methods with sutures, anchors, wires, or screws have been described but...
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عنوان ژورنال:
- Orthopedics
دوره 35 7 شماره
صفحات -
تاریخ انتشار 2012