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Percutaneous Retrograde Extraphyseal screw fixation for Type II and III Anterior Tibial Spine Avulsion Fractures: A Technical Note

Volume 8 | Issue 2 | May-August 2022 | Page: 16-19 | R M Chandak, Mohit Sharma, Amit Nemade DOI- https://doi.org/10.13107/ijpo.2022.v08i02.140 Authors: R M Chandak [1], Mohit Sharma [1], Amit Nemade [2] [1] Department of Orthopedics & Trauma, Chandak Nursing Home, Nagpur, Maharashtra, India. [2] Department of Orthopedics, Kids Orth Clinic, Nagpur, Maharashtra, India. Address of […]

Editorial

Volume 8 | Issue 1 | January-April 2022 | Page: 01 | Jayant S. Sampat DOI-10.13107/ijpo.2022.v08i01.126 Authors: Jayant S. Sampath FRCSEd (Tr & Orth) [1] [1] Department of Orthopaedics, Rainbow Children’s Hospital, Bangalore, Karnataka, India. Address of Correspondence Dr. Jayanth S. Sampath, Rainbow Children’s Hospital, Bangalore, Karnataka, India. E-mail: editor.posi.ijpo@gmail.com Dear Friends, The first issue […]

Percutaneous Retrograde Extraphyseal screw fixation for Type II and III Anterior Tibial Spine Avulsion Fractures: A Technical Note

Editorial

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Percutaneous Retrograde Extraphyseal screw fixation for Type II and III Anterior Tibial Spine Avulsion Fractures: A Technical Note

Volume 8 | Issue 2 | May-August 2022 | Page: 16-19 | R M Chandak, Mohit Sharma, Amit Nemade

DOI- https://doi.org/10.13107/ijpo.2022.v08i02.140

Authors: R M Chandak [1], Mohit Sharma [1], Amit Nemade [2]

[1] Department of Orthopedics & Trauma, Chandak Nursing Home, Nagpur, Maharashtra, India.
[2] Department of Orthopedics, Kids Orth Clinic, Nagpur, Maharashtra, India.

Address of Correspondence
Dr. Amit Nemade,
Consultant Pediatric Orthopedic Surgeon, Kids Orth Clinic, Nagpur, Maharashtra, India.
E-mail: kidsorth@gmail.com

Abstract

Introduction: Anterior tibial spine avulsion (ATSA) fractures are uncommon intra-articular knee injuries in children. They are common in adolescents. Treatment for displaced ATSA fracture is fixation. Various methods of fixation are documented, most common being arthroscopic assisted fixation using various sutures or anchors. Antegrade screw fixation is also an accepted method of treatment but is associated with implant back out and impingement. We describe our technique of retrograde extraphyseal percutaneous fixation for type II and III ATSA fractures.
Method: Under image intensifier (IITV) guidance, fracture reduction was achieved and fixed with a specially designed, short-threaded, 4mm cannulated screw. The screw was inserted in retrograde fashion proximal to the proximal tibial physis. The patient was immobilized in a cylinder cast and was allowed weight bearing as tolerated. Cast was removed at 6 weeks and range of movement exercises started.
Result: Our technique of percutaneous retrograde extraphyseal screw fixation for ATSA fracture is simple. The learning curve is less and can be used in selected case. In resource-limited situations where facilities for arthroscopy are not readily available, our technique can provide good results
Keywords: Anterior tibial spine avulsion, Percutaneous fixation, Retrograde, extraphyseal.

References

[1] Adams AJ, Talathi NS, Gandhi JS, Patel NM, Ganley TJ. Tibial Spine Fractures in Children: Evaluation, Management, and Future Directions. J Knee Surg. 2018;31(5):374–81.
[2] MEYERS MH, McKEEVER FM. Fracture of the intercondylar eminence of the tibia. J Bone Joint Surg Am. 1959 Mar;41-A(2):202–9.
[3] Hallam PJB, Fazal MA, Ashwood N, Ware HE, Glasgow MMS, Powell JM. An alternative to fixation of displaced fractures of the anterior intercondylar eminence in children. J Bone Jt Surg – Ser B. 2002;84(4):579–82.
[4] Furlan D, Pogorelić Z, Biočić M, Jurić I, Meštrović J. Pediatric tibial eminence fractures: Arthroscopic treatment using K-wire. Scand J Surg. 2010;99(1):38–44.
[5] Jochymek J, Ondruš Š, Škvařil J. Fraktura interkondylické eminence v dětském věku. Výsledky dlouhodobého sledování. Acta Chir Orthop Traumatol Cech. 2012;79(5):442–6.
[6] Vega JR, Irribarra LA, Baar AK, Iñiguez M, Salgado M, Gana N. Arthroscopic Fixation of Displaced Tibial Eminence Fractures: A New Growth Plate-Sparing Method. Arthrosc – J Arthrosc Relat Surg. 2008;24(11):1239–43.
[7] Louis M-L, Guillaume J-M, Toth C, Launay F, Jouve J-L, Bollini G. Fracture de l’éminence intercondylienne du tibia de type II chez l’enfant. Rev Chir Orthop Reparatrice Appar Mot. 2007;93(1):56–62.
[8] Mann MA, Desy NM, Martineau PA. A new procedure for tibial spine avulsion fracture fixation. 2012;2395–8.
[9] Reynders P, Reynders K, Broos P. Pediatric and adolescent tibial eminence fractures: Arthroscopic cannulated screw fixation. J Trauma. 2002;53(1):49–54.
[10] Herman MJ, Martinek MA, Abzug JM. Complications of tibial eminence and diaphyseal fractures in children: prevention and treatment. Instr Course Lect. 2015;64:471–82.
[11] Ando T, Nishihara K. Arthroscopic internal fixation of fractures of the intercondylar eminence of the tibia. Arthroscopy. 1996;12(5):616–22.
[12] Xu X, Liu Z, Wen H, Pan X. Arthroscopic fixation of pediatric tibial eminence fractures using suture anchors: a mid-term follow-up. Arch Orthop Trauma Surg. 2017;137(10):1409–16.
[13] Xu P, Liu LC, Chen QJ, Yang P, Chen X Bin, Xie XP. The clinical effect and safety of the treatment of tibia intercondylar eminence fracture with cannulated screw and suture fixation under arthroscope: Protocol for a systematic review and meta-analysis of randomized controlled trials. Med (United States). 2020;99(23).
[14] Watts CD, Larson AN, Milbrandt TA. Open versus arthroscopic reduction for Tibial eminence fracture fixation in children. J Pediatr Orthop. 2016;36(5):437–9.
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How to Cite this Article: Chandak RM, Sharma M, Nemade A | Percutaneous Retrograde Extraphyseal screw fixation for Type II and III Anterior Tibial Spine Avulsion Fractures: A Technical Note | International Journal of Paediatric Orthopaedics | May-August 2022; 8(2): 16-19. https://doi.org/10.13107/ijpo.2022.v08i02.140

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Editorial

Volume 8 | Issue 1 | January-April 2022 | Page: 01 | Jayant S. Sampat
DOI-10.13107/ijpo.2022.v08i01.126

Authors: Jayant S. Sampath FRCSEd (Tr & Orth) [1]

[1] Department of Orthopaedics, Rainbow Children’s Hospital, Bangalore, Karnataka, India.

Address of Correspondence
Dr. Jayanth S. Sampath,
Rainbow Children’s Hospital, Bangalore, Karnataka, India.
E-mail: editor.posi.ijpo@gmail.com

Dear Friends,
The first issue of IJPO in 2022 features a symposium on current concepts in musculoskeletal infections in children. Our associate editors, Dr Mohan V Belthur and Dr Ashish Ranade were instrumental in producing the symposium, from topic selection to coordinating with individual authors. A wide-ranging array of subjects feature in the symposium including tropical pyomyositis, diagnostic tools in infection, management guidelines for septic arthritis and the role of non-vascularised fibular grafting for post-infection bony defects.
The original article in this issue highlights improvements in the treatment outcomes of lateral condyle fracture of the humerus in children by a simple modification of existing techniques. In addition, there are 3 case reports which will be of interest to readers.
As life returns to normal following the pandemic, orthopaedic surgeons have less spare time to devote to academic pursuits. We appeal to POSI members to maintain the momentum that was created in 2020 by submitting their articles to IJPO on a regular basis. We will provide the necessary editorial assistance so that your ideas and research work can be shared with the global community of orthopaedic surgeons. This will be particularly useful to trainees and first-time authors.
The Editorial Board would like to thank the team of reviewers without whom this journal would not be possible.

Dr Jayanth S Sampath FRCSEd (Tr&Orth)
Editor

editor.ijpo@gmail.com

How to Cite this Article: Sampat JS | Editorial | International Journal of Paediatric Orthopaedics | May-August 2022; 8(1): 01.

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Percutaneous Retrograde Extraphyseal screw fixation for Type II and III Anterior Tibial Spine Avulsion Fractures: A Technical Note

Editorial

Percutaneous Retrograde Extraphyseal screw fixation for Type II and III Anterior Tibial Spine Avulsion Fractures: A Technical Note

Editorial

Full Sized Blog Element (Big Preview Pic)

Percutaneous Retrograde Extraphyseal screw fixation for Type II and III Anterior Tibial Spine Avulsion Fractures: A Technical Note

Authors: R M Chandak [1], Mohit Sharma [1], Amit Nemade [2]

Abstract

(Article Text HTML) (Full Text PDF)

Editorial

Authors: Jayant S. Sampath FRCSEd (Tr & Orth) [1]

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