Abstract:
Tibial tubercle avulsion fractures are relatively uncommon fractures commonly seen in adolescent males. The treatment goal is to restore the extensor mechanism and to repair the articular surface. Although previous surgical techniques have been mainly screws or tension band wiring, there is a certain consensus on this. However, the choice of these surgical techniques largely depends on the surgeon. In our case, we utilized a suture anchor distal to the cannulated screw. This enabled us to use a smaller screw and cover the screw head completely with the patellar tendon. Therefore, this can be an advantage in lowering the incidence of device irritation. Given the successful outcome of our technique, we may consider applying suture anchors more frequently in tibial tubercle avulsion fractures in the future.
摘要:
胫骨结节撕脱性骨折是相对罕见的骨折,常见于青少年男性。治疗目标是恢复伸肌机制并修复关节表面。尽管以前的手术技术主要是螺钉或张力带接线,对此有一定的共识。然而,这些手术技术的选择在很大程度上取决于外科医生。在我们的案例中,我们使用了空心螺钉远端的缝合锚。这使我们能够使用较小的螺钉,并用髌腱完全覆盖螺钉头。因此,这在降低装置刺激的发生率方面是有利的。鉴于我们技术的成功结果,我们可以考虑将来在胫骨结节撕脱性骨折中更频繁地使用缝合锚钉。