Recorded Surgical Demonstrations - AOSSM/POSNA Pediatric Surgical Skills Course-6. Tibial Spine Fixation Demo

Video Transcription

Video Summary

In this video, a demonstration is given on the fixation of a tibial spine fracture using sutures instead of K-wires. The technique involves reducing the fracture and ensuring the meniscus isn't entrapped. An ACL guide is used to set up two drill holes, and sutures are passed using a double Houston suture passer technique. The suture construct is then pulled through the tunnels to achieve reduction of the fragment and tension on the ACL. The sutures are tied sequentially, and the tibial spine is secured with a push lock device. The video advises against using fluoroscopy, as anatomic perfection is not necessary as long as the patient is stable and has full range of motion. The presenter concludes by mentioning that there are other techniques, such as using screws, for this type of fixation, and announces the next demonstration on lateral articular tenodesis. The video ends with reminders about lunch, gown hanging, and a request for instructors to regroup before the afternoon session. No specific credits are mentioned.

Keywords

tibial spine fracture

suture fixation

double Houston suture passer technique

ACL guide

push lock device