Physeal-sparing tibial eminence fracture fixation with a headless compression screw.
Displaced tibial intercondylar eminence fractures frequently require operative fixation. Surgical techniques for fixation include the use of headed screws or sutures. However, these fractures commonly occur in skeletally immature patients, and current techniques violate the proximal tibial physis to maintain reduction and can result in growth disturbances. The authors present a physeal-sparing method for fixation of noncomminuted displaced tibial eminence fractures using a headless compression screw. They describe 2 skeletally immature adolescents in whom their technique provided maintenance of reduction until union and full return to activities.
Department of Orthopaedic Surgery and Sports Medicine, University of Kentucky, 740 South Limestone, K401 Kentucky Clinic, Lexington, KY 40536- 0284, USA.
Darren L
DL
Johnson
Thomas C
TC
Durbin
D000293:Adolescent; D001863:Bone Screws; D002648:Child; D005260:Female; D005593:Fracture Fixation, Internal / Q000295:instrumentation*; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D011859:Radiography; D013978:Tibial Fractures / Q000000981:diagnostic imaging* / Q000601:surgery*; D016896:Treatment Outcome