title: [Arthroscopic treatment of tibial intercondylar eminence fractures in children with single Kirschner wire and suture avoiding epiphyseal line fixation technique].
abstract: OBJECTIVE
  To discuss arthroscopic technique of single Kirschner wire and suture avoiding epiphyseal line fixation for tibial intercondylar eminence fracture and its clinical results.
  
  
  METHODS
  From May 2008 to December 2012, 21 patients (13 males, 8 females, ranging in age from 6 to 14 years old) with tibial intercondylar eminence fracture were treated arthroscopically with single Kirschner wire and suture avoiding epiphyseal line fixation technique. According to Meyers and McKeever classification, 7 patients were type II, 10 patients were type III, and 4 patients were type IV. Active rehabilitation began at one week after operation. The patients were followed up for 10 to 30 months. X-ray films were taken to evaluate fracture healing at 1, 3, 6 months after operation; range of motion, the anterior drawer test, the lachman test and the Lysholm knee score were used to evaluate clinical effects.
  
  
  RESULTS
  All fractures were healed without displacement at 6 weeks after operation. Anterior drawer test and the lachman test were both negative in all patients at 3 months after operation. Lysholm knee score was 95.5 ±2.5 at 6 months after operation, and postoperative X-ray film did not find epiphyseal line broadening or narrowing.
  
  
  CONCLUSIONS
  Arthroscopic treatment for tibial eminence intercondylar fracture with single Kirschner wire and 8-shaped suture avoiding epiphyseal line fixation technique has many advantages, such as firm fixation,early mobilization, less invasive, less injury of physis and satisfactory effect.
authors.forename: Qi-chun
authors.initials: QC
authors.lastname: Zhao
authors.forename: Xiao-wen
authors.initials: XW
authors.lastname: Deng
authors.forename: Ping
authors.initials: P
authors.lastname: Zhou
authors.forename: Xi-fu
authors.initials: XF
authors.lastname: Shang
authors.lastname: Zhu Ya-Lin
mesh_terms: D000293:Adolescent; D001182:Arthroscopy; D001864:Bone Wires; D002648:Child; D005260:Female; D005593:Fracture Fixation, Internal; D006801:Humans; D008297:Male; D013537:Sutures; D013978:Tibial Fractures / Q000601:surgery*