Arthroscopic reduction and double-tunnel button fixation of fractures of the tibial intercondylar eminence in children
10.3760/cma.j.cn115530-20221118-00590
- VernacularTitle:关节镜下双隧道纽扣固定技术治疗儿童胫骨髁间嵴骨折的疗效分析
- Author:
Chao YOU
1
;
Chao DENG
;
Yibiao ZHOU
;
Tianfeng ZHU
;
Yongjie XIA
Author Information
1. 深圳市儿童医院骨科，深圳 518000
- Keywords:
Arthroscopy;
Child;
Knee joint;
Tibial intercondylar eminence;
Double tunnel button technique
- From:
Chinese Journal of Orthopaedic Trauma
2023;25(8):728-731
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the efficacy of arthroscopic reduction and double-tunnel button fixation in the treatment of fractures of the tibial intercondylar eminence in children.Methods:From January 2019 to June 2022, 8 children with fracture of the tibial intercondylar eminence were treated at Orthopedics Department, Shenzhen Children's Hospital with arthroscopic reduction and double-tunnel button fixation. They were 6 boys and 2 girls, with an age of (8.4±1.9) years. Injured sites: 4 left knees and 4 right knees. Their operation time, intraoperative blood loss, knee flexion and extension, and complications were recorded. Their Lysholm scores were compared between preoperation and the last follow-up.Results:The operation time was (161.9±57.9)min. All patients were followed up for (12.1±5.7) months. The intraoperative blood loss was 3.5 (1.0,4.3)mL. Their knee flexion was 145.0°±5.0° and extension 0.9°±1.2° after operation. All their incisions healed at one stage, with no postoperative infection or other complications. Their preoperative Lysholm score [(20.3±15.8) points (from 2 to 54 points)] increased significantly to (99.3±1.0) points (from 98 to 100 points) after operation ( P<0.05). Conclusions:Arthroscopic reduction and double-tunnel button fixation is effective for fractures of the tibial intercondylar eminence in children, leading to limited complications, limited bleeding and a low infection rate.
