Author/Editor     Senekovič, Vladimir; Veselko, Matjaž; Tonin, Martin
Title     Artroskopska pritrditev odlomka tibialnega narastišča sprednje križne vezi s kanuliranim vijakom
Translated title     Arthroscopic fixation of avulsion fracture of the tibial insertion of the anterior cruciate ligament with a cannulated screw
Type     članek
Source     Endoskopska revija
Vol. and No.     Letnik 3, št. 6
Publication year     1998
Volume     str. 87-92
Language     slo
Abstract     Abruption of the tibial insertion of the anterior cruciate ligament can be managed by arthroscopic reduction and fixation. Anterograde and retrograde fixation with screws has been reported. Anterograde technique allows for stable fixation of fragments even when they are very small and thin. Additional use of a washer affords safe fixation of comminuted avulsion fractures. We have developed a simple and safe arthroscopic technique for anterograde stable fixation of this abruption using a cannulated screw and washer. It allows immediate mobilisation and weight bearing. In the last two years, this procedure was performed in 20 patients. The therapeutic results were uniformly good.
Summary     Odlomek tibialnega narastišča sprednje križne vezi lahko artroskopsko reponiramo in pritrdimo. Opisanih je bilo že več tehnik fiksiranja z vijakom v anterogradni ali retrogradni smeri. Anterogradno lahko tudi manjše in tanke odlomke stabilno pričvrstimo. Z dodatno uporabo podložke lahko tudi zdrobljene zlome stabilno fiksiramo. Razvili smo enostano in varno artroskopsko tehniko anterogradnega stabilnega fiksiranja tega odloma s kanuliranim vijakom in podložko, ki dovoljuje takojšnjo mobilizacijo in obremenjevanje. S to metodo smo v zadnjih dveh letih operirali 20 poškodovancev. Pri vseh je bil rezultat zdravljenja dober.
Descriptors     ANTERIOR CRUCIATE LIGAMENT
TIBIAL FRACTURES
ARTHROSCOPY
FRACTURES, COMMINUTED
FRACTURE FIXATION