Abstract
Purpose: We report an easy-to-use 4-portal technique for arthroscopic treatment of intercondylar
eminence fractures and compare results of 2 groups of cases, adolescents and adults,
and 2 types of internal fixation, sutures and screws. Type of Study: Surgical technique and retrospective study. Methods: The study was carried on 2 groups of patients, adolescents and adults, with intercondylar
eminence fractures who were treated arthroscopically. For internal fixation, sutures
were used in 8 adolescents and screws were used in 13 adults. In the technique we
describe, anteromedial superior and inferior, and anterolateral superior and inferior
portals were used. Results: The average follow-up period for the adolescents was 27.3 months (range, 11 to 57
months), and for the adults was 19.6 months (range, 7 to 71 months). We did not encounter
any cases of nonunion. There were only 3 complications, 1 of arthrofibrosis resulting
from a delay of rehabilitation due to a vascular compromise and 2 cases of tenderness
over the screw that responded well to its removal. Union occurred earlier in adolescents,
but rehabilitation was easier in adults. Conclusions: Beside satisfactory results obtained by arthroscopic treatment of intercondylar eminence
fractures, arthroscopy also provides the possibility to determine and treat associated
pathologies. With the experience we gained, the procedure with the 4-portal technique
in treating these fractures became much easier as a routine approach.
Arthroscopy: The Journal of Arthroscopic and Related Surgery, Vol 17, No 5 (May-June),
2001: pp 450–460
Keywords
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Article info
Footnotes
*Address correspondence and reprint requests to Mehmet S. Binnet, M.D., Ankara Üniversitesi Tip Fakültesi, Ibn-I Sina Hastanesi, Ortopedi ve Travmatoloji ABD, Samanpazari, 06100 Ankara, Turkey. E-mail: [email protected]
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Copyright
© 2001 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.
