Arthroscopic Fixation of Tibial Intercondylar Eminence Fracture by Fiber Wire Suture and U Screws in Adolescent Athletes

Arthroscopic Fixation of Tibial Intercondylar Eminence Fracture by Fiber Wire Suture and U Screws in Adolescent Athletes

Objective: We aimed to present our experience on arthroscopic management of tibial intercondylar eminence fracture in adolescent athletes.Methods: This was a case series of 9 adolescents (7 males, 2 females) aged 10-16 years diagnosed with tibial intercondylar eminence fracture following a sports activity. According to Meyers and McKeever classification, 4 patients had Type IIIA, 3 had Type IIIB, and 2 patients had Type II fracture. Following percutaneous arthroscopic reduction, the fragments of the fracture were fixed internally and anterior cruciate ligament was reconstructed through two 2.4 mm parallel tunnels at the level of anterior tibia by using fiber wire suture and U screws. Anterior tibial displacement was measured by KT-1000 knee arthrometer, and Lysholm Knee Scoring Scale was used for the patient-reported outcomes.Results: The duration of operation was 31.6±8.9 min. The patients were followed up for 37.1±19.1 months. Theanterior tibial displacement relative to the femur was 1.4±0.7 mm. TheLysholm score was 95.8±3.1. None of the patients developed infection. The complete fracture healing was obtained in all patients. Conclusion: Arthroscopic reduction and internal fixation by fiber wire suture and U screws provide perfect anatomic and functional outcome for displaced Type II and Type III tibial intercondylar eminence fracture in adolescent athletes.

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  • 1. Prof. Tahsin Beyzadeoglu, MD tbeyzade@superonline.com
  • 2. Assoc. Prof. Önder ERSAN ,MD onersan@gmail.com
  • 3. Assoc. Prof. Serhan ÜNLÜ ,MD serhanunlu@yahoo.com