Tibial spine fracture

Mechanism of fracture
Classification
Non-operative management
Surgical treatment

 


Tibial spine fracture

HyperExtension and femur external rotation during a fall

Intercondyle eminence : Medial spine (ACL attachment) + Lateral spine

ACL fiber -> tibial spine, inter-meniscal lig, MM attachment


Classification

Modified Meyers and McKeever classification

Non-Operative management

Type I, II (after C/R)

Long leg cast, Slightly flexion (avoid ACL positional tension)

Hemarthrosis evacuation

Closed reduction (Physician’s preference for Type II)


Surgical treatment

Type II & III & IV

Reduction method : Arthroscopic vs Open

Fixation method : Suture vs Screw




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