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Sportverletz Sportschaden 2024; 38(04): 186-191
DOI: 10.1055/a-2421-1997
Original Article

Suture Bridge Fixation in Treating Traumatic Femoral Osteochondral Injuries in Adults: A Case Study and Review of the Literature

Innovative Techniken in der orthopädischen Chirurgie: eine detaillierte Fallstudie und Literaturübersicht zur Suture-Bridge-Fixierung bei traumatischen osteochondralen Femurverletzungen bei Erwachsenen
Quan Zhang 
1   Department of Orthopedics, Taiyuan Central Hospital, Taiyuan, Shanxi Province, China (Ringgold ID: RIN604247)
,
Qi Wang 
1   Department of Orthopedics, Taiyuan Central Hospital, Taiyuan, Shanxi Province, China (Ringgold ID: RIN604247)
,
Zhengang Cao 
1   Department of Orthopedics, Taiyuan Central Hospital, Taiyuan, Shanxi Province, China (Ringgold ID: RIN604247)
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Abstract

Achieving anatomic reduction, securing fixation, and ensuring adequate compression are crucial steps in the internal fixation process for traumatic osteochondral defects. A variety of fixation methodologies have been in use, e.g., metal pins, bioabsorbable screws, and glue tissue adhesives, each of them yielding different outcomes. This study presents the outcomes of utilising the concept of suture bridge fixation for traumatic femoral osteochondral injury in a 34-year-old patient. Following a three-year follow-up, the patient demonstrated a return to normal activities with complete and pain-free knee mobility. In conclusion, it can be stated that suture bridges offer an alternative approach for the fixation of osteochondral fragments in the knee attributable to traumatic injuries.

Zusammenfassung

Bei der internen Fixierung traumatischer osteochondraler Defekte ist es von entscheidender Bedeutung, eine anatomische Reposition zu erreichen, die Fixierung zu sichern und eine angemessene Kompression zu gewährleisten. Es wurden verschiedene Fixierungsmethoden wie Metallstifte, bioresorbierbare Schrauben und Gewebekleber eingesetzt, die jeweils zu unterschiedlichen Ergebnissen führten. In dieser Studie werden die Ergebnisse der Anwendung des Konzepts der Suture-Bridge-Fixierung bei traumatischen femoralen osteochondralen Verletzungen bei einem 34-jährigen Patienten vorgestellt. Nach einer Nachbeobachtungszeit von 3 Jahren konnte der Patient seine normalen Aktivitäten wieder aufnehmen und sein Knie vollständig und schmerzfrei bewegen. Daher bietet die Suture-Bridge-Technik einen alternativen Ansatz für die Fixierung von osteochondralen Fragmenten im Knie, die auf traumatische Verletzungen zurückzuführen sind.

Keywords

osteochondral fracture - chondral fracture - suture bridge

Schlüsselwörter

osteochondrale Fraktur - chondrale Fraktur - Nahtbrücke


Publication History

Received: 02 May 2024

Accepted after revision: 11 August 2024

Article published online:
14 October 2024

© 2024. Thieme. All rights reserved.

Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

 

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