Tratamiento artroscópico de las fracturas de la eminencia intercondílea

Abstract

Introduction: fractures of the intercondylar eminence are avulsion fractures of the anterior cruciate ligament (ACL). Treatment options for displaced fractures consist of an arthroscopic approach and fracture fixation. There is currently debate about the surgical technique and the fixation material. The aim of our literature review is to analyze the different methods of arthroscopic fixation currently available in the treatment of fractures of the intercondylar eminence.

Materials and methods: a systematic review of the bibliography was carried out using the PRISMA format. The inclusion criteria were fractures of the intercondylar eminence in adults treated by arthroscopy.

Results: sixteen articles were analyzed, with a total of 551 fractures. The most affected knee was the right with 66% of cases. The most used fixation method was suture (31%), cerclage (25%), anchors (22%), Kw fixation (8%), Endobutton® (6.3%), screws (4.5%) and wire (3%).

Conclusions: no fixation method showed the superiority in terms of percentages of stability, consolidation, and immobilization time.