Mortazavi Seyed Mohammad Javad, Hasani Satehi Sadegh, Vosoughi Farzad, Rezaei Dogahe Reza, Besharaty Saied
Joint Reconstruction Research Center, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Arthrosc Tech. 2021 Jun 20;10(7):e1709-e1715. doi: 10.1016/j.eats.2021.03.018. eCollection 2021 Jul.
Controversy still exists regarding how to reduce and fix a displaced tibial avulsion fracture. Open reduction and internal fixation may lead to morbidity due to soft-tissue injury and arthrotomy. As a result, arthroscopic techniques are increasing in popularity. In the literature, sutures, K wires, and screws are suggested to be used as the fixation devices. Screws cannot be used in small or comminuted fractures, whereas K wires and sutures may not provide strong stability. Recently, with the advent of ultrahigh molecular weight polyethylene sutures like FiberWire, it has become possible to use it as the fixation device in even comminuted avulsion fractures with acceptable reduction stability. In this paper, we describe a simple arthroscopic technique using a FiberWire to manage the displaced tibial eminence avulsion fracture.
关于如何复位和固定移位的胫骨髁间棘撕脱骨折仍存在争议。切开复位内固定可能因软组织损伤和关节切开术而导致并发症。因此，关节镜技术越来越受欢迎。在文献中，建议使用缝线、克氏针和螺钉作为固定装置。螺钉不能用于小骨折或粉碎性骨折，而克氏针和缝线可能无法提供强大的稳定性。最近，随着像FiberWire这样的超高分子量聚乙烯缝线的出现，即使在粉碎性撕脱骨折中，以可接受的复位稳定性将其用作固定装置也成为可能。在本文中，我们描述了一种使用FiberWire处理移位胫骨髁间棘撕脱骨折的简单关节镜技术。
