胫骨髁间嵴骨折教学幻灯片讲义.pptVIP

Arthroscopic Reduction and Internal Fixation of TibialEminence Fractures ; once thought to occur only in the pediatric population, in adults as well.; The ability to arthroscopically 1.evaluate the fracture pattern 2.address concomitant intraarticular pathology. ;Cannulated screw fixation has been shown to have good strength and fracture stabilization. ;Existing problems 1.smaller or comminuted fracture fragments 2. The potential for hardware impingement with the subsequent loss of knee extension 3. coupled with the possibility of screw removal ; suture fixation is biomechanically