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

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

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.

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 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.

Arthroscopic Suture Fixation of Tibial Eminence Avulsion Fractures

2008 ◽  
Vol 24 (11) ◽  
pp. 1232-1238 ◽  
Author(s):  
Tsan-Wen Huang ◽  
Kuo-Yao Hsu ◽  
Chun-Ying Cheng ◽  
Lih-Huei Chen ◽  
Ching-Jen Wang ◽  
...  
Keyword(s):  
Suture Fixation ◽  
Avulsion Fractures ◽  
Tibial Eminence

scholarly journals Arthroscopic treatment of displaced tibial eminence fractures using wire loop technique

2018 ◽  
Vol 4 (4) ◽  
pp. 623
Author(s):  
Rajat Nirkhe ◽  
Hardik Sheth ◽  
Subodh Kumar Pathak ◽  
Raghav Barve ◽  
Sandeep Kumar Gour ◽  
...  
Keyword(s):  
Final Analysis ◽  
International Knee Documentation Committee ◽  
Arthroscopic Treatment ◽  
Age Group ◽  
Avulsion Fractures ◽  
Wire Loop ◽  
Tibial Spine ◽  
Tibial Eminence ◽  
Loop Technique ◽  
The Mean

<p class="abstract"><strong>Background:</strong> Several techniques of arthroscopic treatment of tibial spine avulsion fractures have been described in the literature. We conducted a study to analyze the results of arthroscopic assisted wire loop technique for treatment of tibial spine avulsion in adults and pediatric patients.</p><p class="abstract"><strong>Methods:</strong> From June 2011 to December 2016, 52 patients with tibial spine fractures were surgically treated with arthroscopic reduction and wire loop fixation. Forty-four patients were adults and eight were in their pediatric age group. The age group ranged from 9 years to 52 years with the mean age of 26.2 years. 28 patients were type 2 and 24 were of type 3 fracture as classified by Myeres and Mckeever’s classification. The final analysis was done using clinical tests, radiological evaluation and International Knee Documentation Committee (IKDC) and Lysholm score.<strong></strong></p><p class="abstract"><strong>Results:</strong> At final follow-up, the mean IKDC and Lysholm knee scores were, 92 and 93 respectively. All patients had a complete functional recovery and were able to return to work and to resume their activities.</p><p class="abstract"><strong>Conclusions:</strong> Arthroscopic wire loop fixation is an excellent method for tibial eminence fracture in adults and children which gives excellent results in form of control tension on ACL on each side of avulsed fragment and also gives adequate mechanical strength for early rehabilitation.</p>

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