Endoskopie 2011; 20(1): 20-23

Arthroscopic technique “outside-inside-out” for treatment of tibial intercondylar spike avulsion

MUDr.Vojtěch Havlas, Ph.D., MUDr.Tomáš Trč

Ortopedická klinika UK, 2. LF a FN v Motole, Praha

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.

Keywords: intercondylar spine, knee arthroscopy, ACL, trauma

Published: May 1, 2011  Show citation