scholarly journals Arthroscopic Suture Fixation of Comminuted Tibial Eminence Fractures: Hybrid All-Epiphyseal Bone Tunnel and Knotless Anchor Technique

2019 ◽  
Vol 8 (11) ◽  
pp. e1283-e1288 ◽  
Author(s):  
Joseph C. Fox ◽  
Michael G. Saper
Keyword(s):  
Bone Tunnel ◽  
Suture Fixation ◽  
Knotless Anchor ◽  
Tibial Eminence ◽  
Epiphyseal Bone

ARTHROSCOPIC SUTURE FIXATION OF DISPLACED TIBIAL EMINENCE FRACTURES

Orthopedics ◽  
1993 ◽  
Vol 16 (3) ◽  
pp. 331-333
Author(s):  
William B Geissler ◽  
Daniel E Matthews
Keyword(s):  
Suture Fixation ◽  
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

scholarly journals Arthroscopic Suture Fixation of Tibial Eminence Fracture

2021 ◽  
Vol 1 (1) ◽  
pp. 263502542199278
Author(s):  
Gehron P. Treme ◽  
Dustin L. Richter
Keyword(s):  
Pediatric Population ◽  
Cruciate Ligament ◽  
Return To Sport ◽  
Minimal Risk ◽  
Suture Fixation ◽  
Reliable Technique ◽  
Tibial Eminence Fracture ◽  
Tibial Eminence ◽  
High Return ◽  
Bone Tunnels

Background: Tibial eminence fractures account for up to 5% of knee injuries with an effusion in the pediatric population. Displaced fractures require reduction and operative fixation via arthroscopic or open techniques. Indications: Arthroscopic suture fixation and screw fixation are 2 of the most commonly described techniques for tibial eminence fracture treatment. We describe our preferred technique of arthroscopic suture fixation given the versatility of this technique and decreased risks of hardware irritation or impingement, need for reoperation, and minimal risk of physeal damage. Technique Description: The arthroscopic suture fixation technique uses a standard anteromedial and anterolateral portal. After the fracture bed and hematoma are debrided and any interposing structures (ie, meniscus) are removed from the fracture site, 2 nonabsorbable sutures are passed through the substance of the anterior cruciate ligament (ACL). Using an ACL guide, 2 separate transtibial tunnels are drilled with a bone bridge in between—one at the anterolateral aspect of the fracture base and one at the anteromedial aspect. One limb from each suture is pulled out from each of the bone tunnels. The fragment is then reduced, and the sutures are tensioned and fixated using knotless suture anchors. Results: Overall prognosis following tibial eminence fracture fixation is favorable with more than 80% of patients returning to prior level of activity. Arthrofibrosis may occur in up to 25% of patients. Although some residual laxity may remain, there is a high return to sport and no difference in rate of subsequent ACL injury or surgery compared with a match cohort of pediatric ACL reconstructions. Discussion: Arthroscopic suture fixation of displaced tibial eminence fractures is a reliable technique with high return to sport and low risk of reoperation. Arthrofibrosis is common; thus, early, controlled knee range of motion following surgery is critical.

Graft healing in a bone tunnel: bone-attached graft with screw fixation versus bone-free graft with extra-articular suture fixation

2004 ◽  
Vol 12 (5) ◽  
Author(s):  
Hideo Kawakami ◽  
Konsei Shino ◽  
Masayuki Hamada ◽  
Ken Nakata ◽  
Shigeto Nakagawa ◽  
...  
Keyword(s):  
Screw Fixation ◽  
Bone Tunnel ◽  
Suture Fixation ◽  
Free Graft ◽  
Graft Healing

scholarly journals Arthroscopic Single-Tunnel Pullout Suture Fixation for Tibial Eminence Avulsion Fracture

2018 ◽  
Vol 7 (5) ◽  
pp. e443-e452 ◽  
Author(s):  
Ahmed Nady Saleh Elsaid ◽  
Assem Mohamed Noureldin Zein ◽  
Mohamed ElShafie ◽  
Nady Saleh El Said ◽  
Alaa Zenhom Mahmoud
Keyword(s):  
Avulsion Fracture ◽  
Suture Fixation ◽  
Tibial Eminence

Arthroscopic Suture Fixation of Tibial Eminence Fractures

Orthopedics ◽  
2006 ◽  
Vol 29 (7) ◽  
pp. 577-581 ◽  
Author(s):  
Harrison G. Frank ◽  
Jonathan B. Shook ◽  
Kevin B. Freedman
Keyword(s):  
Suture Fixation ◽  
Tibial Eminence

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

Modified arthroscopic suture fixation of displaced tibial eminence fractures using a suture loop transporter

2001 ◽  
Vol 17 (1) ◽  
pp. 101-106 ◽  
Author(s):  
Daniel K.H. Yip ◽  
Jimmy W.K. Wong ◽  
Eric P. Chien ◽  
C.F. Chan
Keyword(s):  
Suture Fixation ◽  
Tibial Eminence
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