Abstract
Authors introduce thein own technique of fixation of avulsed tibial spike in chindren using crossed Ki wires. Aim of Study: Introduction of "outside-inside-out" arthroscopic technique for treatment of tibial intercondylar spike avulsion.
Material and Methods: The technique takes advantage of arthroscopy in treatment of type II and III tibial intercondylar spike avulsions with use of Kirschner wires. 35 patients were operated and evaluated. Results: No neurologic or vascular complications were noticed.
Two patients underwent manipulation under GA for persistent joint stiffness postoperatively. Very good results were observed in 74 %, in 5 % we found temporary instability, in 11.5 % we observed residual instability, 6 % (2 cases) had to be primarily converted to open revision.
Conclusions: This technique allows exact reduction and good stability with low complication rate and has been a relevant alternative to conventionally used open techniques.