Medler R G, Jansson K A
University of Kansas School of Medicine, Wichita.
Arthroscopy. 1994 Jun;10(3):292-5. doi: 10.1016/s0749-8063(05)80114-8.
Fractures of the tibial spine have been classified by Meyers and McKeever. Type three fractures are completely displaced and multiple methods have been employed to treat this injury. We report an arthroscopic technique, using the Accufex ACL tibial drill guide, which has been used successfully to manage this complicated problem. Advantages of this technique include: no morbidity from an arthrotomy, ability to diagnose and treat concomitant injuries, anatomic reduction of the fragment, no retained hardware, and limited surgical time.
胫骨棘骨折已由迈尔斯和麦基弗进行了分类。三型骨折完全移位,已采用多种方法治疗该损伤。我们报告一种关节镜技术,使用Accufex前交叉韧带胫骨钻孔导向器,该技术已成功用于处理这一复杂问题。该技术的优点包括:无关节切开术的并发症、能够诊断和治疗合并伤、骨折块解剖复位、无内固定物残留以及手术时间有限。