Eminentia Fractures: Transquadricipital Approach
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.
- Ando T, Nishihara K (2003) Arthroscopic internal fixation of fractures of the intercondylar eminence of the tibia. Arthroscopy 19:54–61Google Scholar
- Iborra JP, Mazeau P, Louahem D, Dimeglio A (1999) Fractures of the intercondylar eminence of the tibia in children. Apropos of 25 cases with a 1-2 year follow-up. Rev Chir Reparatrice Appr Mot 85:563–573Google Scholar
- Kocher MS, Micheli LJ (2001) The pediatric knee: evaluation and treatment. In: Insall JN, Scott WN (eds) Surgery of the knee, 3rd edn. Churchill-Livingstone, New York, pp 1356–1397Google Scholar
- Poncet A (1875) Arrachement de l’epine du tibia a l’insertion du ligament croise anterieur. Bull Mem Soc Chir Paris 1:883–884Google Scholar
- Wiley JJ, Baxter MP (1990) Tibial spine fractures in children. Clin Orthop Relat Res 255:54–60Google Scholar
- Yung XD, An LP, Cheng P, Wu M, Xia YY (2013) Treatment of tibial intercondylar eminence fracture under arthroscopy through patellofemoral joint space. Zhongguo Gu Shang 26:714–716Google Scholar