title: Successful stabilisation of a type III paediatric tibial eminence fracture using a tensioned wire technique.
abstract: We report the case of an 11-year-old boy presenting with a type III tibial eminence fracture. The fracture fragment was reduced arthroscopically. Two 1.6 mm retrograde K-wires were inserted from the tibial metaphysis across the physis and into the fracture fragment using a standard anterior cruciate ligament tibial tunnel guide. Once the wires were clearly visible within the joint the tips were bent over by ∼120°. The wires were then tensioned around a single small fragment screw inserted into the tibial metaphysis. An exceptionally strong fixation was achieved. The boy was mobilised without a brace. The wires were removed at 12 weeks and he returned to full activity at 14 weeks.
authors.affiliation: University of Leicester Medical School, Leicester, UK.
authors.forename: Matthew
authors.initials: M
authors.lastname: Archer
authors.affiliation: University of Leicester Medical School, Leicester, UK.
authors.forename: Tom
authors.initials: T
authors.lastname: Parkin
authors.affiliation: Department of Orthopaedics, Peterborough and Stamford Hospitals, Peterborough, UK Department of Orthopaedics, Addenbrookes Hospital, Cambridge, UK.
authors.forename: Mark David
authors.identifier: http://orcid.org/0000-0002-1515-1392
authors.initials: MD
authors.lastname: Latimer
mesh_terms: D001864:Bone Wires; D002648:Child; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D008297:Male; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*