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Volume 3 Issue 1 (January - March, 2015)

Original Articles

To assess the care of Avulsion Fracture Tibial Spine by Open Reduction and Endobutton Fixation
Amit Aggarwal

Aim: The current study's goal is to assess the care of Avulsion Fracture Tibial Spine by Open Reduction and Endobutton Fixation. Methods: This research covered a total of 20 instances with Tibial spine avulsion. To confirm that the tibial spine avulsion stays anatomically minimised, a final intraoperative radiograph of the knee is done. The wounds are subsequently closed in the usual way. Static quadriceps workouts began on the second day after the knee was put in a functional brace and locked in extension. Sutures will be removed between the 12th and 15th post-operative day. The brace is worn for a total of 8 weeks, with the first two weeks kept in extension and progressively increasing range of motion. Weight bearing is advised after suture removal postoperatively. After suture removal, partial weight bearing is advised, followed by full weight bearing four weeks later while wearing a knee brace. All patients were followed up on at 6 weeks, 3 months, 6 months, 9 months, and 1 year intervals. Results: This research comprised a total of 20 patients. The research sample consisted of 16 men (80%) and 4 females (20 percent ). The patients' median age was 31.5 years (range: 20–53 years). The mechanism of injury in 65 percent of instances (13) was a car collision, whereas 25 percent (5) of cases were related to a sports injury. Sixty-five percent of patients had outstanding outcomes, followed by a decent outcome. Thirty percent and one patient have a fair prognosis, while none have a terrible outcome. Conclusion: An endobutton-assisted open reduction of displaced tibial spine avulsion fractures results in a favourable functional outcome. This treatment does not need the removal of the implant and allows for early weight bearing and rehabilitation.

 
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