Ando T, Nishihara K
Department of Orthopaedic Surgery, Yashima General Hospital, Kagawa-ken, Japan.
Arthroscopy. 1996 Oct;12(5):616-22. doi: 10.1016/s0749-8063(96)90203-0.
We treated a 53-year-old man with a fracture of intercondylar eminence of the tibia. He had a nondisplaced (type I) fracture at the first examination and was treated by long leg cast. However, 4 weeks later, it was found that the fracture was displaced, which suggests that nondisplaced fracture of intercondylar eminence may displace later. We recommend primary arthroscopic fixation for type I fractures of the intercendolar eminence of the tibia, because it is difficult to reduce the fragment arthroscopically once it is displaced. This report describes a new technique of arthroscopic reduction and internal fixation for the fractures intercondylar eminence of the tibia.
我们治疗了一名53岁的男性，他患有胫骨髁间隆起骨折。初次检查时，他的骨折为无移位型（I型），并接受了长腿石膏固定治疗。然而，4周后发现骨折发生了移位，这表明胫骨髁间隆起的无移位骨折可能会在后期发生移位。我们建议对胫骨髁间隆起的I型骨折进行一期关节镜下固定，因为一旦骨折块发生移位，很难通过关节镜进行复位。本报告描述了一种用于胫骨髁间隆起骨折的关节镜下复位及内固定新技术。
