How do you treat a Segond fracture?
Patients underwent direct Segond fracture repair by either suture alone, suture anchor, or cannulated screw fixation based on the size of the lesion, followed by a 2-incision hamstring autograft intra-articular reconstruction.
How long does a Segond fracture take to heal?
In a mean 59.1 months (range, 24-180 months) of follow-up, the Segond group had the same results regarding anteroposterior and rotational stability as the control group. The authors also mentioned that time to fracture healing was 4 months (range, 3-30 months) after injury.
Can a Segond fracture heal on its own?
Although the fracture itself is small, the extensive ligamentous injury associated with it usually requires surgical intervention, to correct anterior rotational instability 4. Healing of the Segond fracture is associated with a particular bone excrescence arising below the lateral tibial plateau.
What is a Segond fracture?
Segond fractures are a type of avulsion fracture on the lateral aspect of the knee. They are relatively common and are highly associated with an underlying anterior cruciate ligament injury. This activity reviews the cause, evaluation, treatment, and prognosis of Segond fractures.
How Segond fracture happen?
Classically resulting from internal rotation and varus stress of the knee in flexion, the Segond fracture is an avulsion injury of the lateral tibial plateau and midlateral capsule that frequently accompanies ACL rupture. This injury commonly includes meniscal injury.
Why does Segond fracture occur?
Segond fracture is typically the result of abnormal varus, or “bowing”, stress to the knee, combined with internal rotation of the tibia. Reverse Segond fracture, as its name suggests, is caused by abnormal valgus, or “knock-knee”, stress and external rotation.
Which tendon is used in ACL surgery?
Hamstring tendon grafts are one of the most commonly used grafts for ACL reconstruction. The semitendinosus tendon with or without gracilis tendon is harvested, from ipsilateral leg. They are used as quadruple stranded grafts and are comparable to native ACL.
What does Segond mean?
The Segond fracture is a type of avulsion fracture (soft tissue structures pulling off fragments of their bony attachment) from the lateral tibial plateau of the knee, immediately below the articular surface of the tibia (see photo).
Where is Segond fracture?
Segond fractures are a type of avulsion fracture on the lateral aspect of the knee. They are relatively common and are highly associated with an underlying anterior cruciate ligament injury.
Why is Segond fracture associated with ACL injury?
When is the ACL graft most vulnerable?
The graft is at its weakest at 3 to 6 months – just when the patient is beginning to regain confidence. It is therefore essential that return to proper sport is delayed until 9 months post-op.