scholarly journals Arthroscopic Transosseous Suture-bridge Fixation for Anterior Cruciate Ligament Tibial Avulsion Fractures

2020 ◽  
Vol 9 (10) ◽  
pp. e1607-e1611
Author(s):  
Supamongkol Mutchamee ◽  
Phob Ganokroj
Keyword(s):  
Anterior Cruciate Ligament ◽  
Cruciate Ligament ◽  
Avulsion Fractures ◽  
Suture Bridge ◽  
Transosseous Suture ◽  
Anterior Cruciate

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 Reverse Segond Fracture Associated with Anteromedial Tibial Rim and Tibial Attachment of Anterior Cruciate Ligament Avulsion Fractures

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Yehia H. Bedeir
Keyword(s):  
Anterior Cruciate Ligament ◽  
Avulsion Fracture ◽  
Cruciate Ligament ◽  
New Combination ◽  
Ligament Injury ◽  
Segond Fracture ◽  
Avulsion Fractures ◽  
Anterior Cruciate Ligament Avulsion ◽  
Plateau Fracture ◽  
Anterior Cruciate

Reverse Segond fracture is an uncommon avulsion fracture of the tibial attachment of the deep portion of the medial collateral ligament of the knee. We report a reverse Segond fracture associated with anterior cruciate ligament tibial avulsion fracture and anteromedial tibial rim fracture. Unlike previous reports, the combination of reverse Segond fracture, anteromedial tibial rim fracture, and anterior cruciate ligament avulsion fracture was not associated with posterior cruciate ligament injury, posterolateral corner injury, or tibial plateau fracture. This new combination of injuries provides better understanding of the mechanisms of ligamentous injuries of the knee and highlights the importance of meticulous assessment of these injuries for accurate diagnosis and subsequent management.

scholarly journals Biomechanical comparison of different fixation techniques for reconstruction of tibial avulsion fractures of the anterior cruciate ligament

2013 ◽  
Vol 37 (5) ◽  
pp. 919-923 ◽  
Author(s):  
Marco Ezechieli ◽  
Madeline Schäfer ◽  
Christoph Becher ◽  
Antonios Dratzidis ◽  
Richard Glaab ◽  
...  
Keyword(s):  
Anterior Cruciate Ligament ◽  
Cruciate Ligament ◽  
Avulsion Fractures ◽  
Fixation Techniques ◽  
Anterior Cruciate ◽  
Biomechanical Comparison

Arthroscopic Two-Point Suture Bridge Fixation Technique for the Treatment of Anterior Cruciate Ligament Tibial Avulsion Fractures

2021 ◽  
Vol 11 (10) ◽  
pp. 1977-1982
Author(s):  
Dong Zheng ◽  
Jianjian Yin ◽  
Long Han ◽  
Jianchao Gui
Keyword(s):  
Anterior Cruciate Ligament ◽  
Avulsion Fracture ◽  
Cruciate Ligament ◽  
Suture Fixation ◽  
Fixation Technique ◽  
Avulsion Fractures ◽  
Anterior Drawer ◽  
Kt 1000 ◽  
Anterior Cruciate

This study aimed to present and evaluate a new arthroscopic technique that uses two-point suture fixation for anterior cruciate ligament (ACL) tibial avulsion fractures. A total of 15 patients diagnosed with ACL tibial avulsion fracture underwent arthroscopic suture fixation from November 2018 to October 2019 and were treated using two-point suture fixation. The patients were followed up and evaluated according to Lysholm scores, International Knee Documentation Committee (IKDC) subjective scores, Tegner activity level scales, anterior drawer testing, and KT-1000 arthrometer testing. The mean follow-up period was 18 months (12 to 24). All patients had a negative Lachman test and anterior drawer test at final follow-up and showed the radiological union of avulsion fracture at 12-week postoperative radiograph. The Lysholm score improved significantly postoperatively with a mean score of 94.26±3.63 (87 to 98; p < 0.001). The Tegner score improved significantly postoperatively from 3.61 ±1.37 to 7.14±1.51 (P < 0.001). The KT-1000 measured value decreased significantly postoperatively from 7.3±1.5 to 1.4 ±1.2 (P < 0.001). The IKDC category was abnormal or severely abnormal preoperatively, and all patients improved to normal or nearly normal at final follow-up. Arthroscopic treatment using the two-point suture fixation technique is effective for ACL avulsion fracture and can restore the function and stability of the knee joint.

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