Fractures of the intercondylar eminence in children and adolescents.
The treatment of choice of completely dislocated fractures of the intercondylar eminence is controversial. Recently, Zifko and Gaudernak [14] introduced a new classification in which they distinguish between two different types of intercondylar fractures: Type A: isolated avulsion of the anterior cruciate ligament Type B: fractures including the intercondylar eminence In order to assess whether this new classification could lead to a better selection of patients requiring open reduction, 19 children were reviewed 2-16 years after they had sustained a fracture of the intercondylar eminence. All patients with incompletely displaced fragments had an excellent or good ultimate result, independent of the kind of initial treatment received. Eleven patients sustained a complete displaced fracture. Of these, two had a poor result. Both had been treated conservatively for isolated avulsion of the anterior cruciate ligament. All conservatively treated type-B fractures had an excellent or good result. It is concluded that completely displaced type-A fractures require operative treatment by open reduction and fixation of the avulsed fragment.
Oostvogel
H J
HJ
Department of Traumatology, University Hospital Groningen, The Netherlands.
Klasen
H J
HJ
Reddingius
R E
RE
D000293:Adolescent; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007718:Knee Injuries / Q000145:classification / Q000000981:diagnostic imaging / Q000628:therapy; D007719:Knee Joint / Q000000981:diagnostic imaging; D008023:Ligaments, Articular / Q000293:injuries; D008297:Male; D011859:Radiography; D013978:Tibial Fractures / Q000145:classification / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*