ACL-LET Didactic Presentations - AOSSM/POSNA Pediatric Surgical Skills Course-ACL-LET: 7. Tibial Spine Screw Fixation

Video Transcription

Video Summary

In the video, Dr. Sheetal Parikh from Cincinnati Children's Hospital discusses tibial spine fractures and the screw fixation technique. Multiple studies and systematic reviews have shown that there is no difference in subjective instability or the future need for ACL reconstruction between screw and suture fixation. However, there is a higher rate of hardware removal with screws. The surgical technique involves using standard portals and K-wires to reduce and fixate the fracture. Complications such as malunion, non-union, screw back out, and arthrofibrosis are discussed, along with prevention methods. Type 2 and type 3 fractures are typically treated with screw fixation, while type 4 fractures require a combination of screws, sutures, and anchors. The video concludes with post-operative care and the importance of early range of motion and physical therapy.

Keywords

tibial spine fractures

screw fixation technique

complications

fracture fixation

post-operative care