A novel technique of tibial tuberosity fracture fixation with two knotless suture anchors in an adult: A case report and literature review.

IF 1.1 4区 医学 Q3 ORTHOPEDICS Acta orthopaedica et traumatologica turcica Pub Date : 2022-11-01 DOI:10.5152/j.aott.2022.22102
Youn-Ho Choi, DoJoon Park
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引用次数: 1

Abstract

Tibial tuberosity fractures are uncommon in adults. Surgery for these types of fractures is performed similarly to that of tibial tuberosity avulsion fractures in adolescents. The most commonly introduced method is to fix the displaced bone fragments using screws or wires and, if necessary, use tension band wiring for augmentation. However, if the bone fragments are too small or severely comminuted, it may be challenging to fix them using the conventional method. In this study, we introduced a fixation method using two knotless suture anchors that could be attempted in such cases. Since this surgical method fixes the bone fragments without direct damage to the bone fragments, it can be used even when the fragments are small or comminuted. This technique achieved a nearly full active range of knee motion without an extension lag at four weeks postoperatively. In addition, there were no complications related to surgery, and a complete bone union was achieved without additional dislocation. Therefore, this surgical method may be a good alternative if a fixation of the fracture is considered problematic by the conventional method.

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两根无结缝合锚钉固定成人胫骨粗隆骨折的新技术:1例报告及文献复习。
胫骨结节骨折在成人中并不常见。这类骨折的手术方法与青少年胫骨结节撕脱性骨折相似。最常用的方法是用螺钉或钢丝固定移位的骨碎片,必要时使用张力带钢丝进行加固。然而,如果骨碎片太小或严重粉碎,使用传统方法固定它们可能具有挑战性。在本研究中,我们介绍了一种使用两个无结缝合锚钉的固定方法,可以尝试在这种情况下使用。由于这种手术方法固定骨碎片而不会直接损伤骨碎片,因此即使碎片很小或粉碎也可以使用。该技术在术后四周实现了几乎完全的膝关节活动范围,没有伸直延迟。此外,没有与手术相关的并发症,并且实现了完全的骨愈合,没有额外的脱位。因此,如果传统方法认为骨折的固定有问题,这种手术方法可能是一个很好的选择。
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来源期刊
CiteScore
2.00
自引率
0.00%
发文量
66
审稿时长
>12 weeks
期刊介绍: Acta Orthopaedica et Traumatologica Turcica (AOTT) is an international, scientific, open access periodical published in accordance with independent, unbiased, and double-blinded peer-review principles. The journal is the official publication of the Turkish Association of Orthopaedics and Traumatology, and Turkish Society of Orthopaedics and Traumatology. It is published bimonthly in January, March, May, July, September, and November. The publication language of the journal is English. The aim of the journal is to publish original studies of the highest scientific and clinical value in orthopedics, traumatology, and related disciplines. The scope of the journal includes but not limited to diagnostic, treatment, and prevention methods related to orthopedics and traumatology. Acta Orthopaedica et Traumatologica Turcica publishes clinical and basic research articles, case reports, personal clinical and technical notes, systematic reviews and meta-analyses and letters to the Editor. Proceedings of scientific meetings are also considered for publication. The target audience of the journal includes healthcare professionals, physicians, and researchers who are interested or working in orthopedics and traumatology field, and related disciplines.
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