Arthroscopic Fixation of Tibial Eminence Fractures: A Biomechanical Comparative Study of Screw, Suture, and Suture Anchor

Li, Ji; Yu, Yang; Liu, Chunhui; Su, Xiangzheng; Liao, Weixiong; Li, Zhongli

doi:10.1016/j.arthro.2017.12.018

Cited by 22 publications

(33 citation statements)

References 42 publications

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“…Suture anchors alone have also been shown to be biomechanically stronger than screws in these studies 14, 15, 16. Li et al 16 . found that the “necktie” or “luggage-tag” suture configuration, as in our construct, adds additional strength.…”

Section: Discussionmentioning

confidence: 59%

“…Compared with cannulated screws, suture fixation over a bone bridge provides higher resistance to cyclic loading and higher ultimate strength in cadaveric knees 14, 15, 16. Suture anchors alone have also been shown to be biomechanically stronger than screws in these studies 14, 15, 16. Li et al 16 .…”

Section: Discussionmentioning

confidence: 88%

“…The overall success of surgical treatment depends on anatomic reduction with fixation strong enough to allow early motion, which decreases the risk of arthrofibrosis and hastens the return to full function 13 . Compared with cannulated screws, suture fixation over a bone bridge provides higher resistance to cyclic loading and higher ultimate strength in cadaveric knees 14, 15, 16. Suture anchors alone have also been shown to be biomechanically stronger than screws in these studies 14, 15, 16.…”

Section: Discussionmentioning

confidence: 88%

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

Fox

Saper

2019

Arthroscopy Techniques

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Tibial eminence fractures most commonly occur in young children and adolescents with open physes. Displaced fractures are typically treated with surgical reduction and fixation. Multiple arthroscopic techniques and fixation constructs have been described. However, many of these techniques violate the physis with a risk of growth disturbance and deformity from asymmetrical physeal growth. This technical note details a surgical technique of arthroscopically assisted suture fixation of a comminuted tibial spine fracture using all-epiphyseal bone tunnels and knotless anchors. In this construct, sutures passing through the substance of the anterior cruciate ligament help to eliminate residual laxity, all-epiphyseal bone tunnels avoid growth disturbance, and suture anchors reduce persistently displaced anterior comminution.

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Section: Discussionmentioning

confidence: 59%

Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 88%

See 1 more Smart Citation

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

Fox

Saper

2019

Arthroscopy Techniques

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“…31 In the present study, compared with the screw fixation, the suture fixation had higher stiffness, but there was no statistically significant difference between these two methods. Among the included studies, Sawyer et al 30 and Li et al 1 reported that stiffness is similar using both the suture fixation and the screw fixation. However, Eggers et al 31 and Bong et al 32 found that stiffness in the suture fixation method was significantly higher than that in the screw fixation method for TEF treatment.…”

Section: Discussionmentioning

confidence: 99%

“…Screw fixation has advantages in direct reduction and compression for large, complete fractures without interfering with the growth plate, 1,22,23 while suture fixation can be used in all types of fractures including comminuted fractures. 15,24 However, there is still no consensus as to which technique is superior in biotechnical properties for TEF treatment.…”

Section: Introductionmentioning

confidence: 99%

Suture versus screw fixation technique for tibial eminence fracture: A meta-analysis of laboratory studies

Chen

et al. 2020

J Orthop Surg (Hong Kong)

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Purpose: The aim of this study was to compare the biomechanical properties between the suture fixation technique and the screw fixation technique for tibial eminence fracture (TEF). Methods: The current study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The PubMed, Embase, and the Cochrane were searched from inception to January 2019 comparing the suture and the screw fixation technique for TEF. The results of the eligible studies were analyzed in terms of stiffness, ultimate failure load, and displacement after the cyclic testing. Results: Six laboratory studies were included with a total of 114 knees: 57 knees were in the FiberWire suture group and 57 knees were in the single-screw group. The suture group had higher stiffness than the screw group, but there was no statistical difference between these two groups. Ultimate failure load in the suture group was statistically higher than that in the screw group. No statistically significant difference existed in displacement after the cyclic testing between the suture group and the screw group. Conclusion: The FiberWire suture fixation may be biomechanically superior to a single screw fixation in TEF treatment in mature knees regarding ultimate failure load, while no significant difference was found between the two fixations in terms of stiffness and displacement after the cyclic testing.

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Arthroscopic percutaneous pullout suture transverse tunnel technique repair for tibial spine fractures in skeletally immature patients

Zhou

Deng

She

et al. 2023

International Orthopaedics (SICOT)

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Arthroscopic Fixation of Tibial Eminence Fractures: A Biomechanical Comparative Study of Screw, Suture, and Suture Anchor

Cited by 22 publications

References 42 publications

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

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

Suture versus screw fixation technique for tibial eminence fracture: A meta-analysis of laboratory studies

Arthroscopic percutaneous pullout suture transverse tunnel technique repair for tibial spine fractures in skeletally immature patients

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