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Eminentia Fractures: Transquadricipital Approach

  • Mahmut Nedim Doral
  • Onur Bilge
  • Gazi Huri
  • Egemen Turhan
  • Rozi Dzoleva Tolevska
  • Naila Babayeva
  • Gürhan Dönmez
Chapter

Abstract

Tibial eminentia fractures are relatively rare. Although they are most frequently observed in children and adolescents, they are encountered in adults as well. Currently, they are classified according to the Meyers and McKeever classification modified by Zaricznyj. Various surgical techniques have been described. The current management has changed from open reduction and internal fixation to arthroscopic reduction and internal fixation. Arthroscopic management for reduction and fixation of these fractures is currently accepted as the gold standard technique for displaced fractures. Although fracture pattern, patient characteristics, and the surgeon’s experience influence the management, anatomical fracture reduction and rigid internal fixation is of greatest importance for displaced tibial eminentia fractures. Residual anterior joint laxity is the most common complication. However, healing is successful for most fractures, and residual laxity does not relate strongly with subjectively successful clinical outcomes. This chapter provides a detailed description of the “transquadricipital tendinous portal” arthroscopic approach for tibial eminentia fracture fixation.

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Mahmut Nedim Doral
    • 1
  • Onur Bilge
    • 2
    • 3
  • Gazi Huri
    • 4
  • Egemen Turhan
    • 4
  • Rozi Dzoleva Tolevska
    • 5
  • Naila Babayeva
    • 6
  • Gürhan Dönmez
    • 6
  1. 1.Faculty of Medicine, Department of Orthopaedics and TraumatologyUfuk University, Dr. Rıdvan Ege HospitalAnkaraTurkey
  2. 2.Meram Faculty of Medicine, Department of Orthopaedics and TraumatologyKonya Necmettin Erbakan UniversityKonyaTurkey
  3. 3.Meram Faculty of Medicine, Department of Sports MedicineKonya Necmettin Erbakan UniversityKonyaTurkey
  4. 4.Faculty of Medicine, Department of Orthopaedics and TraumatologyHacettepe UniversityAnkaraTurkey
  5. 5.University Clinic for Orthopaedic SurgerySkopjeRepublic of Macedonia
  6. 6.Faculty of Medicine, Department of Sports MedicineHacettepe UniversityAnkaraTurkey

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