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2022, Number 1

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Acta Med 2022; 20 (1)

Bilateral tibial spine fracture in an adult

Chico CF, Turrubiates LE, Domínguez GLG, López MACD, Domínguez CLG
Full text How to cite this article 10.35366/103560

DOI

DOI: 10.35366/103560
URL: https://dx.doi.org/10.35366/103560

Language: Spanish
References: 6
Page: 71-73
PDF size: 153.58 Kb.


Key words:

Tibial spine fracture, arthroscopy, fixation, high strength sutures, Kirschner wires.

ABSTRACT

Introduction: Tibial spine fracture is rare, with an incidence of 3/100,000; bilateral fractures are of extraordinary presentation. Case report: 30-year-old female who suffered a fall of 1.5 m height colliding the floor with heels that caused axial load, hyperextension, and forced valgus of both knees, her X-rays and tomography showed bilateral tibial spine fracture, he received arthroscopic treatment, carrying out reduction and fixation with high-strength sutures and Kirschner wires. Conclusions: Arthroscopic management of this type of injury provides functional results and reduces comorbidity, avoiding a second surgery to remove material.


REFERENCES

  1. Strauss EJ, Kaplan DJ, Weinberg ME, Egol J, Jazrawi LM. Arthroscopic management of tibial spine avulsion fractures: principles and techniques. J Am Acad Orthop Surg. 2018; 26 (10): 360-367. doi: 10.5435/JAAOS-D-16-00117.

  2. Andersen JW, Mejdahl S. Bilateral fracture of the tibial spine. Acta Orthop Belg. 1993; 59 (4): 394-397.

  3. Osti L, Buda M, Soldati F, Del Buono A, Osti R, Maffulli N. Arthroscopic treatment of tibial eminence fracture: a systematic review of different fixation methods. Br Med Bull. 2016; 118 (1): 73-90.

  4. Senekovic V, Balazic M. Bioabsorbable sutures versus screw fixation of displaced tibial eminence fractures: a biomechanical study. Eur J Orthop Surg Traumatol. 2014; 24 (2): 209-216. doi: 10.1007/s00590-013-1176-3.

  5. Bong MR, Romero A, Kubiak E, Iesaka K, Heywood CS, Kummer F et al. Suture versus screw fixation of displaced tibial eminence fractures: a biomechanical comparison. Arthroscopy. 2005; 21 (10): 1172-1176. doi: 10.1016/j.arthro.2005.06.019.

  6. Senekovic V, Veselko M. Anterograde arthroscopic fixation of avulsion fractures of the tibial eminence with a cannulated screw: five-year results. Arthroscopy. 2003; 19 (1): 54-61. doi: 10.1053/jars.2003.50012.




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Acta Med. 2022;20