By Robert E. Hunter
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Extra resources for AANA Advanced Arthroscopy. The Knee
Part II: Arthroscopic treatment of tibial plateau fractures: intercondylar eminence avulsion fracture. Arthroscopy. 2005;21:86-92). the fracture bed. A longitudinal incision is centered over the tibial tubercle. The medial pin enters the tibia just medial to the tubercle, and the lateral pin just lateral. The guide places two 3-mm cannulated retropins at the medial and lateral edges of the fracture bed in the midcoronal plane under direct arthroscopic visualization. A Nitinol wire loop is passed up through the cannulated retro pins, medially and laterally, respectively.
Frequent use of fluoroscopy is recommended to ensure accurate placement of the wire and screw and also to make sure that the wire is not being advanced as the screw is placed. Suture fixation should be used when the fracture is small or comminuted, or in the presence of open growth plates. 4-mm wire on the medial side of the fragment. FIGURE 2-5 A second wire is passed on the lateral side of the ACL. secondary procedures (hardware removal) 25,26 These authors favor the suture technique in all cases.
Anterior Interval. This potential site of entrapment includes the fat pad, patellar tendon, and retropatellar recess. The anterior interval is bordered anteriorly by the fat pad and patellar tendon, posteriorly by the intracondylar notch and anterior border of the tibial plateau, superiorly by the patella, and inferiorly by the tibial tubercle. The retropatellar recess is a space between the insertion of the patellar tendon and anterior border of the tibia. Extracapsular structures in this area include the medial and lateral patellotibial ligaments.