Tibial Tubercle Osteotomy Repair Technique
Author Information
Author(s): Deane Crawford, Ferran Nicholas, Ghandour Adel, Morgan-Jones Rhidian
Primary Institution: Department of Trauma and Orthopaedics, University Hospital of Wales
Hypothesis
Can Ethibond sutures provide a better fixation method for tibial tubercle osteotomy in revision knee arthroplasty compared to traditional methods?
Conclusion
Ethibond sutures provide adequate fixation of the tibial tubercle osteotomy segment in revision knee arthroplasty with reduced risk of complication as compared to conventional fixation methods.
Supporting Evidence
- Ethibond sutures are less cumbersome than wires and less prominent than screws.
- The technique has not required re-operation for fixation issues in the authors' experience.
- Ethibond offers high tensile strength and ease of handling.
Takeaway
This study shows that using special sutures to fix a bone cut in knee surgery is easier and safer than using screws or wires.
Methodology
The study describes a technique for tibial tubercle osteotomy using Ethibond sutures for fixation, emphasizing the preservation of the lateral periosteal hinge.
Limitations
The technique relies on the integrity of the lateral periosteal sleeve for stability, which could risk migration of the osteotomy segment.
Digital Object Identifier (DOI)
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