Arthroscopic suture fixation of comminuted tibial spine fractures-a prospective study
Journal Title: International Journal of Medical Research and Review - Year 2016, Vol 4, Issue 7
Abstract
Introduction: Tibial spine fractures are common injuries and various techniques have been described for the fixation. The purpose of the article is to make familiar with thearthroscopic fixation of the anterior cruciate ligament bony avulsion injuries using non absorbable sutures and simple methods and instruments. Adequate reduction, anterior cruciate ligament integrity and regaining the bio-mechanics of the knee are the ultimate goal to be achieved failing which non union and malunion ensues. This technique has resulted in achieving excellent results and thus avoiding complications like joint laxity, flexion deformity & pain. Methods: Twenty one patients underwent arthroscopic suture fixation of the comminutedtibial spine fractures. Mean age of the patient was 24.28 years (range 16 to 38 years). All of the patients belonged to the Meyer type IV. The mean duration of follow up was 15.5 months with a minimum of one year follow-up. Results: All patients showed negative Lachman test except one having grade 1 positive lachman. No patient showed extension loss. 90.4 % (n=19) patients had an IKDC grade A while two patients belonged to grade B. All patients returned to their previous activity level. Conclusion: The above excellent results show that arthroscopic suture fixation of the comminutedtibial spine is promising and reliable technique to achieve the best biomechanics of the knee.
Authors and Affiliations
Shantanu Kumar, Sudhir Shyam Kushwaha, Shailendra Singh, Deepak kumar, Vinnet Sharma
Keywords
Related Articles
- EP ID EP230562
- DOI 10.17511
- Views 126
- Downloads 0
Effect of progressive muscle relaxation on post-operative analgesia
Background: Postoperative pain begins with surgical trauma, the intensity reduces gradually and ends with tissue recovery. Effective pain management is essential to minimize unnecessary distress and potential complicatio...
Zika Virus- A Global Health Emergency
Zika Virus is emerging as global emergency. We are presenting here a brief epidemiological profile, brief clinical features and preventive aspects of Zika virus fever globally.
Hyperfractionated radiotherapy and concurrent chemotherapy in locally advanced hypopharyngeal cancers– an institutional experience
Aim: To determine whether hyperfractionated radiotherapy with concurrent cisplatin improves outcome in advanced hypopharyngeal cancers. Methodology: From 2012 to 2014, twenty three patients diagnosed with squamous cell c...
Altered PTEN expression as a diagnostic marker for the earliest endometrial precancerous changes
Introduction: Study was planned to investigate PTEN gene expression in endometrial hyperplasia and carcinoma as analyzed by immunohistochemistry. Material and Method: This study was conducted on 80 endometrial samples in...
Evaluation of enzyme immunoassay based on detection of pLDH antigen for the diagnosis of malaria
Introduction: Timely diagnosis of malaria is a challenge in most endemic areas due to lack of resources. The methods most commonly used are microscopy, regarded as the gold standard, and rapid dipstick tests (RDT) which...