Arthroscopic Treatment of Type III Tibial Spine Fractures Using Absorbable Fixation

Description: Over 2 years, five patients (average age 15 years) were diagnosed with a type III tibial spine fracture. All five fractures were treated with arthroscopic reduction and internal stabilization using absorbable fixation. At average 8.5-year follow-up, patients were interviewed and examined. Results were documented regarding function, KT-1000 testing, range of motion, and radiographic findings. All five patients reported no functional limitations despite participation in high-demand sports. Stability testing by KT-1000 revealed no objective instability. Range of motion was normal when the knee was immobilized in full extension postoperatively. No radiographic abnormality was noted at follow-up.
An excellent result can be expected with arthroscopic treatment of these fractures using absorbable internal fixation. Postoperative immobilization in full extension is recommended.
Arthroscopic Treatment of Type III Tibial Spine Fractures Using Absorbable Fixation By Robert W. Shepley, MD ORTHOPEDICS 2004; 27:767 full text available