Does a Segond fracture need surgery?
The main finding of this study is that repair of a Segond fracture performed with a standard hamstring ACL reconstruction is a safe and successful procedure resulting in excellent recovery of knee stability and function with no major complications.
Does a Segond fracture heal?
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 causes a Segond fracture?
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.
How bad is a tibial plateau fracture?
Patients with tibia plateau fractures are at risk for a serious condition called compartment syndrome. This occurs when the pressure in the leg gets too high for blood and oxygen to circulate. Eventually, the muscle will die if this goes untreated.
Where is the Segond fracture?
Segond fracture located on the lateral aspect of the tibia as seen on anteroposterior radiograph in a patient with an anterior cruciate ligament rupture. … … Segond fracture located on the anterolateral aspect of the tibia as demonstrated on coronal magnetic resonance image of a patient with an anterior cruciate ligament rupture.
Do you need surgery for a Segond fracture?
The Treatment of a Segond Fracture Once the doctor has made a diagnosis, the treatment process will start. In most cases, the bone fracture present in the tibia is very small. Therefore, this fracture alone does not require surgery; however, a disruption of the ACL is going to require surgical correction.
What is the prognosis of Segond fracture of the ACL?
Conclusion Direct repair of the Segond fracture and plication of the anterolateral capsule in patients with an ACL rupture and a high-grade pivot shift demonstrate good clinical outcomes, restoration of rotational stability, and maintenance of knee range of motion at 2 years postoperatively, with no major complications.
What is the difference between Segond fracture and avulsion fracture?
In an avulsion fracture, a portion of the bone is torn away from the rest of the shaft. The second criterion of a Segond fracture is a disruption of the anterior cruciate ligament (ACL), which is seen in about 75 percent of cases. Clearly, this dual injury is significant and can lead to serious disruption of the knee joint.
