J Korean Fract Soc.  2000 Jul;13(3):488-493. 10.12671/jksf.2000.13.3.488.

Arthroscopic Treatment of The Tibial Intercondylar Eminence Fractures

• Kim HC
• Kim B

• KMID: 2307793
• DOI: http://doi.org/10.12671/jksf.2000.13.3.488

Abstract

PURPOSE: To compare operative results between pull-out wiring and retrograde screw fixation for displaced tibial intercondylar eminence fracture.
MATERIALS AND METHODS
From March 1997 to February 1999, authors carried out pull-out wiring in 3 patients and retrograde screw fixation in 5 patients who sustained typeII and typeIII displaced tibial intercondylar eminence fractures follow up for 16 months(mean).
RESULTS
The Union time was mean 7 wk in pull-out wiring and 6.5 wk in retrograde screw fixation. Limitation of knee motion(1 case) developed in retrograde screw fixation group and reoperated for adhesiolysis. Pull-out wiring group were all full motion recovered. Anterior instability(1 case) developed in retrograde screw fixation group and pull-out wiring group had no instability. Operation time for retrograde screw fixation group was mean 98min and pull-out wiring group was 105 min.
CONCLUSION
The outcome of pull-out wiring group were superior to retrograde screw fixation group. It can be stably fixed and allow early motion exercise. Besides, in case of small bony fragment, it is difficult for fixation with screw. And even impossible. In child cases, the multiple percutaneous pinning can lead to good result. So authors believe that pull-out wiring is worthy for tibial intercondylar eminence fracture.

Keyword

tibial intercondylar eminence fracture; pull-out wiring; retrograde screw fixation

MeSH Terms

Child
Follow-Up Studies
Humans
Knee