Clinical outcome of arthroscopic fixation of anterior tibial eminence avulsion fractures in skeletally mature patients

2012 ◽  
Vol 72 (2) ◽  
pp. E88-E93 ◽  
Author(s):  
Ru-Yu Pan ◽  
Jui-Jung Yang ◽  
Jen-Huei Chang ◽  
Hsain-Chung Shen ◽  
Leou-Chyr Lin ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Avulsion Fractures ◽  
Tibial Eminence ◽  
Anterior Tibial ◽  
Arthroscopic Fixation

scholarly journals Combining pullout suture and retrograde screw fixation for anterior cruciate ligament tibial eminence avulsion fractures: A case report

2020 ◽  
Vol 28 (2) ◽  
pp. 230949902091868
Author(s):  
Takaaki Hiranaka ◽  
Takayuki Furumatsu ◽  
Takaaki Tanaka ◽  
Yuki Okazaki ◽  
Yuya Kodama ◽  
...  
Keyword(s):  
Anterior Cruciate Ligament ◽  
Screw Fixation ◽  
Cruciate Ligament ◽  
Weight Bearing ◽  
International Knee Documentation Committee ◽  
Avulsion Fractures ◽  
Tibial Eminence ◽  
Arthroscopic Fixation ◽  
Anterior Cruciate ◽  
Bone Tunnels

This report describes a novel arthroscopic technique for the treatment of anterior cruciate ligament (ACL) tibial eminence avulsion fractures. A 16-year-old boy who was diagnosed with a left ACL tibial eminence avulsion fracture was treated by arthroscopic fixation. Two bone tunnels were created from the anterior tibial cortex into the fracture bed, and a strong suture passed through the ACL just above its insertion was pulled out through them for reduction and fixation. A retrograde cannulated screw fixation was added for stronger fixation. Weight-bearing and range of motion exercises were started immediately after surgery. Radiographically, bone union was obtained 6 months postoperatively. During second-look arthroscopy (24 months postoperatively), there was no loss of reduction and no subsequent meniscal or cartilage injuries. At that point, the Lysholm score was 95, and the International Knee Documentation Committee score was 96.

scholarly journals Arthroscopic Fixation with EndoButton for Tibial Eminence Fractures Visualised through a Proximal Superomedial Portal: A Surgical Technique

2016 ◽  
Vol 24 (3) ◽  
pp. 417-420 ◽  
Author(s):  
Hitoshi Sekiya ◽  
Kenzo Takatoku ◽  
Akinori Kimura ◽  
Yuji Kanaya ◽  
Takashi Fukushima ◽  
...  
Keyword(s):  
Pivot Shift ◽  
Cruciate Ligament ◽  
Flexion Contracture ◽  
Vigorous Exercise ◽  
Arthroscopic Technique ◽  
Growth Disturbance ◽  
Avulsion Fractures ◽  
Tibial Eminence ◽  
Arthroscopic Fixation ◽  
Anterior Cruciate

Most tibial eminence fractures are avulsion fractures of the anterior cruciate ligament (ACL) from its tibial insertion. This study describes a new arthroscopic technique using an additional proximal superomedial portal to visualise the tibial eminence fracture and to fix the fracture with the EndoButton to avoid the risk of fragment breakage. The proximal superomedial portal enables fracture reduction without damage to the intermeniscal ligament. Fixation with the EndoButton is strong enough to allow early rehabilitation with vigorous exercise. All 5 patients achieved bone union; no young patient had growth disturbance of the tibia; all knees were stable with excellent range of motion and negative Lachman and pivot shift tests and no flexion contracture. Arthroscopic fixation with the EndoButton visualised through the proximal superomedial portal is a safe, simple, and secure method for treating tibial eminence fractures, particularly in children with small fragments.

214 COMPARATIVE EVALUATION OF METALLIC SCREWS IN THE REPAIR OF TIBIAL EMINENCE AVULSION FRACTURES: Table.

2005 ◽  
Vol 53 (1) ◽  
pp. S115.6-S116
Author(s):  
A. Lowry ◽  
D. Duncan ◽  
A. Mahar ◽  
R. Oka ◽  
H. Chambers ◽  
...  
Keyword(s):  
Comparative Evaluation ◽  
Avulsion Fractures ◽  
Tibial Eminence

Staged primary fixation of combined bicruciate traumatic avulsion fractures from tibial eminence

2016 ◽  
Vol 16 (2) ◽  
pp. 156
Author(s):  
Sandeep Dixit ◽  
Deepak Rangaswamy ◽  
Mohankumar Jagadeeshan
Keyword(s):  
Avulsion Fractures ◽  
Tibial Eminence

Clinical Outcome of Arthroscopic Suture Fixation for Tibial Eminence Fractures in Adults

2012 ◽  
Vol 28 (10) ◽  
pp. 1472-1480 ◽  
Author(s):  
Nikolaos E. Koukoulias ◽  
Evangelia Germanou ◽  
Despoina Lola ◽  
Athanasios V. Papavasiliou ◽  
Stergios G. Papastergiou
Keyword(s):  
Clinical Outcome ◽  
Suture Fixation ◽  
Tibial Eminence
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