Stevens Jarrad M, Barton Simon B, Alexander Matthew, Eldridge Jonathan D, Clark Damian
Avon Orthopaedic Centre, Southmead Hospital, Bristol, BS10 5NB, UK.
Knox Orthopaedic Group, Knox Private Hospital Melbourne, Melbourne, 3152, Australia.
Eur J Orthop Surg Traumatol. 2020 Jan;30(1):139-145. doi: 10.1007/s00590-019-02536-x. Epub 2019 Aug 28.
We describe a fixation technique for tibial tuberosity osteotomies (TTO) utilising a plate and screw construct which adheres to established principles of bone healing. We record and discuss the complication profile and benefits of this technique.
The technique is outlined, and thirty consecutive case of TTO fixed with this combination of plate and screws were analysed during a study period from January 2018 to October 2018. All patients were followed up clinically to 3 months post-operation for the purpose of identifying early complications of surgery. Radiographic series were reviewed at 2, 6 and 12 weeks post-operation for evidence of fracture, loss of position, hardware failure and union.
All cases went on to clinical and radiographic union by 12 weeks. We identified one case of hardware failure, one case of superficial infection and one case of stiffness requiring manipulation.
We have found this technique of plate and screw construct to be effective in arthroscopically assisted TTO fixation leading to consistent union without loss of position with a low complication profile.
我们描述了一种用于胫骨结节截骨术（TTO）的固定技术，该技术使用钢板和螺钉结构，遵循已确立的骨愈合原则。我们记录并讨论了该技术的并发症情况和益处。
概述该技术，并对2018年1月至2018年10月研究期间连续30例采用这种钢板和螺钉组合固定的TTO病例进行分析。所有患者均接受临床随访至术后3个月，以确定手术的早期并发症。在术后2周、6周和12周复查影像学系列，以观察骨折、位置丢失、内固定失败和愈合情况。
所有病例在12周时均实现临床和影像学愈合。我们发现1例内固定失败、1例浅表感染和1例需要手法治疗的僵硬病例。
我们发现这种钢板和螺钉结构技术在关节镜辅助下的TTO固定中有效，可实现持续愈合，无位置丢失，并发症发生率低。
