Displaced tibial intercondylar eminence fractures frequently require operative fixation. Surgical techniques for fixation include the use of headed screws or sutures. However, these fractures commonly occur in skeletally immature patients, and current techniques violate the proximal tibial physis to maintain reduction and can result in growth disturbances. The authors present a physeal-sparing method for fixation of noncomminuted displaced tibial eminence fractures using a headless compression screw. They describe 2 skeletally immature adolescents in whom their technique provided maintenance of reduction until union and full return to activities.
Posterior cruciate ligament (PCL) injuries are rare, but they often require reconstruction, especially in the setting of combined ligamentous knee injury. Single-bundle transtibial PCL reconstruction is 1 technique for restoring this important ligament. However, this procedure is technically demanding, and complications can occur if poor techniques are used. This article analyzes the potential pitfalls of this procedure and presents the pearls that may ease the technical demands and reduce the risk of avoidable complications.
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