Endoscopic Assisted Percutaneous Fixation of Anterior Inferior Iliac Spine Avulsion Fracture, Surgical Technique.

Autor: Aprato A; School of Medicine, University of Turin, Turin, Italy., Donis A; School of Medicine, University of Turin, Turin, Italy., Reboli M; School of Medicine, University of Turin, Turin, Italy., Vittori J; School of Medicine, University of Turin, Turin, Italy., Secco DC; School of Medicine, University of Turin, Turin, Italy., Massè A; School of Medicine, University of Turin, Turin, Italy.
Jazyk: angličtina
Zdroj: Indian journal of orthopaedics [Indian J Orthop] 2024 Feb 22; Vol. 58 (4), pp. 433-438. Date of Electronic Publication: 2024 Feb 22 (Print Publication: 2024).
DOI: 10.1007/s43465-024-01107-5
Abstrakt: Avulsion fractures of the anterior inferior iliac spine rarely occur in adolescent athletes during rectus femoris contractions or eccentric muscle lengthening while the growth plate is still open. Currently, there are no official guidelines in the literature on the treatment indications of this type of fracture or the type of surgical technique to be used. Nowadays, young and athletic patients desire a quick return to their previous activities, which makes surgical treatment a reasonable choice. Open reduction and internal fixation with an anterior approach are usually recommended when the avulsion fragment has more than 1.5-2 cm displacement on plain radiographs. However, ORIF is associated with a higher risk of heterotopic ossifications and increases the risk of damage to the LFCN. An endoscopic technique was designed to reduce these complications. This technical note describes a procedure of percutaneous fixation to AIIS through 3 endoscopic portals that could potentially minimize complications associated with an open surgical dissection, allowing anatomic reduction under direct visualization.
Competing Interests: Conflict of InterestThe authors declare that they have no conflict of interest in this study.
(© The Author(s) 2024.)
Databáze: MEDLINE
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