Article viewed 788 times

16 Jan 2023
Add to Bookmarks


 

Tibial tubercle fracture - Type III


Score and Comment on this Case

Select a Score out of 10, and add a comment in the field below

Respectfully consider international variabilty in surgical technique and implants when commenting.
Protected by reCAPTCHA - Privacy and Terms


Clinical Details

Clinical and radiological findings:  a 14-year-old boy complains of immediate pain in his left knee while playing soccer, there was no direct trauma, there was probably an eccentric contraction of the quadriceps while the knee was flexing there is no pathological history Physical exam: Shows knee effusion with tenderness at the tibial tubercle, cranialized patella and extensor deficiency AP and lateral X-rays of the knee showed a fracture of the tibial tubercle with intraarticular extension CT-scan was performed to evaluate the intraarticular component of the fracture. Indication for ORIF !

Preoperative Plan

Planning remarks: 

Surgical Discussion

Operative remarks: 

midline incision to the fracture site. Open reduction and internal fixation with 4.0 cancellous, partially threaded screws. joint surface was visualized to assure anatomic reduction an to rule out meniscal lesions to provide additional fixation suture material was passed in krackow fashion through the distal patellar tendon and was fixed in the metaphysis with suture anchors

Orthopaedic implants used:   3x 4.0 mm partially threaded cannulated screws. FiberWire and 2x Swivelock anchor

Search for Related Literature

Powered by OrthoSearch - The British Editorial Society of Bone & Joint Surgery


#

Felix Aguilar

  • Germany , Schleswig-Holstein
  • Area of Specialty - Shoulder
  • Position - Specialist Consultant
#
Industry Sponsership

contact us for advertising opportunities


Peer Review Score

Average Score based on 0 reviews