Arthroscopic fixation of ACL avulsion fracture in the saint pault hospital: A review of treatment outcomes: Cohort study

Abstract

BackgroundThe purpose of this research is to evaluate the results of arthroscopic suture fixation with fiber wires used as treatment for ACL avulsion fracture, and to determine how effective such a technique is when it comes to restoring of knee function.Materials and methodsThis prospective study involves 28 patients, who underwent arthroscopic fixation of displaced ACL avulsion fractures at Saint Paul Hospital (Hanoi) from January 2014 to March 2018.ResultsThe first three weeks were not marked with any abnormalities associated with post-operative sutures and hematomas, infectious complications were not detected either. Post-operative displacement of fracture fragments did not take place among the patients involved in the study. At the 3-month follow-up, the average IKDC score was 90.7 (range: 76–100), and the average Lysholm score was 93.6 (range 82–100). The percentage of excellent scores was 42.9% (12 patients), good scores accounted for 50% (14 patients), while fair/poor scores accounted for 3.6% each (1 patient on each score). The percentage of excellent/good scores was 92.9% in total.ConclusionThis study shows that ACL avulsion fracture can be treated effectively by arthroscopic suture fixation with fiber wires. In fact, this technique may restore knee function and stability.

Technical Note: Tibial Spine Avulsion Treatment with Arthroscopic Reduction and Internal Fixation with Kirschner Wires in Skeletally Immature Patients

“…As widely reported in the literature, internal fixation can currently be performed by using metal or re-absorbable screws, sutures or suture anchors, bioabsorbable nails, double-loop endobutton devices, and stainless wires [23][24][25][26][27][28][29][30][31]. Fiber-wire suture fixation is the most popular arthroscopic fixation modality thanks to its ease of execution, despite less achieved stability if compared with other devices [32]. The choice is determined by the size and comminution of the bony fragment and the surgeon's confidence, having three aspects in mind: the proximity to the proximal tibia growth plate, the preeminent role of the ACL in knee stability, and the potential limitation to knee motion if an optimal reduction is not obtained.…”

Arthroscopic treatment of tibial eminence fractures using double-loop endobutton device: Surgical technique and short-term treatment outcomes

“…[ 1 , 5 - 7 ] Suture fixation with fiber wire is known as the most popular method in arthroscopic techniques while it has some handicaps about stability, early rehabilitation, and knee function restoring. [ 5 , 8 ] A biomechanically more stable device for the arthroscopic fixation of tibial eminence would provide early rehabilitation and knee function restoring. It was seen that double-loop endobutton devices had biomechanical superiority over other implants for acromioclavicular dislocations or ankle syndesmosis injuries.…”