Goldenberg Neal B, Nuelle Clayton W
Department of Orthopedic Surgery, Baylor College of Medicine, Houston, Texas, U.S.A.
San Antonio Orthopedic Group (TSAOG) and Burkhart Research Institute for Orthopedics, San Antonio, Texas, U.S.A.
Arthrosc Tech. 2021 Nov 9;10(11):e2547-e2551. doi: 10.1016/j.eats.2021.07.038. eCollection 2021 Nov.
Osteochondral injuries commonly occur after lateral patellar instability events. Recognition and early intervention of displaced fragments is key to maintaining the viability of the fragment and congruency of the articular surface. Multiple fixation techniques exist for achieving stable fixation of displaced osteochondral lesions, including metal or bioabsorbable screws and all suture techniques. In this Technical Note, we describe a technique for internal fixation of a displaced osteochondral fragment of the lateral femoral condyle using knotless suture anchors. This technique affords minimally invasive restoration of the native anatomy with excellent stability of the fracture fragment, allowing early range of motion and ambulation.
骨软骨损伤常见于髌骨外侧不稳定事件之后。识别并早期干预移位的碎片是维持碎片活力和关节面一致性的关键。实现移位骨软骨损伤稳定固定的技术有多种,包括金属或生物可吸收螺钉以及全缝合技术。在本技术说明中,我们描述了一种使用无结缝线锚钉对股骨外侧髁移位骨软骨碎片进行内固定的技术。该技术能以微创方式恢复原始解剖结构,骨折碎片稳定性极佳,可实现早期活动范围和行走。