Diagnosis and arthrescopic treatment of intercondylar eminence fracture of the tibia
10.3760/cma.j.issn.1001-8050.2009.01.17
- VernacularTitle:髁间棘骨折的诊断与微创治疗
- Author:
Yudong CAN
;
Jing DING
;
Yongqing XU
;
Jun YANG
;
Jiang WU
;
Yong SHA
- Publication Type:Journal Article
- Keywords:
Knee joint;
Knee injuries;
Fracture fixation,internal;
Arthroscopy;
Tibial eminence
- From:
Chinese Journal of Trauma
2009;25(1):53-56
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the role of different imaging examinations in diagnosis and minimally invasive surgery of intercondylar eminence fracture of the tibia. Methods Different imaging examinations and minimally invasive surgery were done on 43 patients with intercondylar eminence frac-ture of the tibia admitted from July 2004 to December 2007. Preoperative and postoperative imaging data were collected for comparative analysis of functional score. Results Fracture detection rate of X-ray was 95%, that of CT three-dimensional reconstruction 100% and that of MRI 90%. All fractures were healed at one stage, with sound knee function. Conclusions The traditional X-ray examination is the first choice for diagnosis of the intercondylar eminence fracture of the tibia. In the meantime, three-di-mensional reconstruction of CT can help enhance accuracy of diagnosis and MRI can help diagnose cruci-ate ligament injury. Arthroscopic and minimally invasive surgery is rather complex but good to recovery of knee joint function. Compared with other methods, tension band is simple but reliable, for it can avoid breakage of the fractured bone and is suitable for all types of fractures.
