Modified arthroscopic suture fixation of displaced tibial eminence fractures using a suture loop transporter
| Autor: | Daniel K.H. Yip, Eric P. Chien, Jimmy W.K. Wong, C.F. Chan |
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| Rok vydání: | 2001 |
| Předmět: |
Adult
medicine.medical_specialty Anterior cruciate ligament Suture fixation Basketball Knee Injuries Fixation (surgical) Arthroscopy medicine Humans Orthopedics and Sports Medicine Tibia Fibrous joint medicine.diagnostic_test business.industry Suture Techniques Magnetic Resonance Imaging Surgery Bicycling Radiography Tibial Fractures medicine.anatomical_structure Orthopedic surgery Bone tunnel Female business |
| Zdroj: | Arthroscopy : the journal of arthroscopicrelated surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association. 17(1) |
| ISSN: | 1526-3231 |
| Popis: | Current arthroscopic suture fixation techniques of tibial eminence fractures are time consuming and the number of anchor sutures that can be placed is limited by the cumbersome and repetitive numerous needle threading steps. This occurs at 2 stages: first, when placing anchoring sutures through the avulsed anterior cruciate ligament stump with a suture punch, and second, when there is a need to traverse the tibial bone canal with the suture ends. We describe a modification that reduces the reliance on conventional rigid instruments and instead uses a loop transporter made from readily available suture material. The suture loop transporter being malleable reduces the necessary width of the tibial bone canal to be made and has a further advantage of minimizing the bone loss during the reaming of the bone tunnel. The subsequent potential for a stress fracture at these tunnel sites is also substantially reduced. Our technique is more user friendly, more accurate, and quicker to perform. |
| Databáze: | OpenAIRE |
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