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Journal of Bone and Joint Surgery - British Volume, Vol 84-B, Issue 4, 579-582.
doi: 10.1302/0301-620X.84B4.10372  
Copyright © 2002 by British Editorial Society of Bone and Joint Surgery
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An alternative to fixation of displaced fractures of the anterior intercondylar eminence in children

P. J. B. Hallam, FRCS, Registrar1; M. A. Fazal, MA, FRCS, Registrar1; N. Ashwood, FRCS, Orthopaedic Registrar2; H. E. Ware, FRCS, Consultant Orthopaedic Surgeon1; M. M. S. Glasgow, FRCS, Consultant Orthopaedic Surgeon3; and J. M. Powell, FRCS, Consultant Orthopaedic Surgeon4

1 Chase Farm Hospital NHS Trust, The Ridgeway, Enfield, Middlesex EN2 8JL, UK.
2 Whittington Hospital, Highgate Hill, London N19 5NF, UK.
3 Norfolk and Norwich Health Care NHS Trust, Brunswick Road, Norwich, Norfolk, UK.
4 The Ipswich Hospital NHS Trust, Heath Road, Ipswich, Suffolk 1P4 SPD, UK.

Correspondence should be sent to Mr P. J. B. Hallam at 8, St James School, Georges Road, London N7 8HD, UK.

Fractures of the anterior intercondylar eminence in children are relatively uncommon. There is considerable debate as to the best treatment of displaced fractures, but most methods described in the literature involve an open procedure combined with some form of fixation. Using human anatomical dissections, we have shown that the transverse meniscal ligament can become incarcerated within the fracture and act as a block to reduction. We describe an arthroscopic technique which requires no fixation device and report the results of its use in eight displaced fractures. This method gives reliable results and offers the advantage of less potential morbidity.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General