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1、Arthroscopic Reduction and Internal Fixation of TibialEminence Fractures 2021/5/71 once thought to occur only in the pediatric population, in adults as well.Fractures of the tibial intercondylar eminence2021/5/72 The ability to arthroscopically 1.evaluate the fracture pattern 2.address concomitant i
2、ntraarticular pathology. 2021/5/73Cannulated screw fixation has been shown to have good strength and fracture stabilization.2021/5/74Existing problems1.smaller or comminuted fracture fragments2. The potential for hardware impingement with the subsequent loss of knee extension3. coupled with the poss
3、ibility of screw removal2021/5/75 suture fixation is biomechanically stronger than screw fixation.2021/5/76 Surgical TechniqueCreated a central transpatellar portala superior percutaneous 4.5-mm K-wire may be used to obtain provisional fixation . 2021/5/77 Surgical TechniqueA No. 5 FiberWire is then
4、 shuttled through the base of the ACL with the SutureLasso .2021/5/78 Surgical TechniqueThe ACL guide system is used to drill 2 parallel tunnels within the tibia.2021/5/79 Surgical Techniqueunscrews and removes the inner drill bit while leaving the outer cannulated drill sleeve in place A Nitinol su
5、ture loop is then passed up through the outer cannulated drill bit into the knee. 2021/5/7109、 人的价值，在招收诱惑的一瞬间被决定。2024/8/202024/8/20Tuesday, August 20, 202410、低头要有勇气，抬头要有低气。2024/8/202024/8/202024/8/208/20/2024 6:49:51 PM11、人总是珍惜为得到。2024/8/202024/8/202024/8/20Aug-2420-Aug-2412、人乱于心，不宽余请。2024/8/202024/
6、8/202024/8/20Tuesday, August 20, 202413、生气是拿别人做错的事来惩罚自己。2024/8/202024/8/202024/8/202024/8/208/20/202414、抱最大的希望，作最大的努力。20 八月 20242024/8/202024/8/202024/8/2015、一个人炫耀什么，说明他内心缺少什么。八月 242024/8/202024/8/202024/8/208/20/202416、业余生活要有意义，不要越轨。2024/8/202024/8/2020 August 202417、一个人即使已登上顶峰，也仍要自强不息。2024/8/20202
7、4/8/202024/8/202024/8/202021/5/711 Surgical Technique One end of the No. 5 FiberWire is then shuttled by use of the Nitinol loop from the working portal down the medial tunnel and out the anterior aspect of the tibia.2021/5/712 Surgical TechniqueThe other end of the No. 5 FiberWire is shuttled in th
8、e same manner out of the second drill hole. The reduction is confirmed, and the suture is then tied over a bony bridge on the anteriormedial cortex of the tibia .2021/5/713 DiscussionArthroscopic has advanced to become the preferred method of treatmentThe addition of the cannulated drill significant
9、ly simplifies the process of suture passage while maintaining fracture reduction and minimizing surgical steps.At the conclusion of the procedure, the wounds are closed in routine fashion and a sterile dressing is applied. A locked hinge brace and crutches are used in the postoperative period to protect the fracture fixation.2021/5/714At the conclusion of the procedure, the wounds are closed in routine fashion and a sterile dressing is applied. A locked hinge brace and crutches are used in the postoperative period to protect the fracture fixation.2021/5/715
