Bioabsorbable sutures versus screw fixation of displaced tibial eminence fractures: a biomechanical study

Senekovič, Vladimir; Balazic, M.

doi:10.1007/s00590-013-1176-3

Cited by 19 publications

(18 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…18,62 Despite assumptions regarding the superior rigidity of metal implants, multiple biomechanical studies suggest that suture techniques actually result in stronger and more durable reduction of tibial spine fractures under cyclic loading simulating physiologic knee function. [87][88][89][90] Furthermore, the systematic review by Bogunovic et al found that patients treated with screws had a higher prevalence of clinical instability with Lachman and KT arthrometer testing (27% vs. 13%, p ¼ 0.0069) as well as higher rates of hardware removal (65% vs. 4%, p < 0.005) compared with suture fixation. However, there was no difference in patient-reported instability.…”

Section: Fixation Techniquesmentioning

confidence: 99%

Tibial Spine Fractures in Children: Evaluation, Management, and Future Directions

et al. 2018

View full text Add to dashboard Cite

Fractures of the tibial spine are estimated to occur in 3 per 100,000 children annually, but account for 2 to 5% of pediatric knee injuries with effusion. Although these fractures were historically associated with bicycle accidents, the surge of organized youth sports in recent decades has brought renewed attention to this injury. While minimally displaced fractures can be treated nonoperatively, several techniques have been described for fixation of displaced or comminuted fractures. Sequelae of this injury can include arthrofibrosis, knee instability, and nonunion. Future collaborative endeavors will aim to further identify risk factors for these complications to optimize the treatment of tibial spine fractures in children.

show abstract

Section: Fixation Techniquesmentioning

confidence: 99%

Tibial Spine Fractures in Children: Evaluation, Management, and Future Directions

et al. 2018

View full text Add to dashboard Cite

show abstract

“…In addition, the fixation device should not traverse the proximal tibial growth plate in skeletally immature patients because of the possibility of partial physeal arrest [ 17 , 18 ]. Some biomechanical studies have investigated fixation power of several internal fixation devices with different results [ 19 – 24 ]. Some clinical studies have reported outcomes of various fixation devices and surgical techniques with pros and cons [ 9 , 10 , 25 – 29 ].…”

Section: Introductionmentioning

confidence: 99%

Clinical and radiological outcomes of arthroscopically assisted cannulated screw fixation for tibial eminence fracture in children and adolescents

Shin

Lee

Choi

et al. 2018

BMC Musculoskelet Disord

View full text Add to dashboard Cite

BackgroundThe purpose of this study was to determine the efficacy and complications of arthroscopically assisted reduction and fixation with cannulated screws for tibial eminence fracture in skeletally immature patients.MethodsThis was a retrospective case series study. Forty-eight patients who were skeletally immature at the time of tibial eminence fracture were treated in a tertiary children’s hospital between May 2004 and August 2015. Twenty-one patients were excluded due to non-operative treatment (n = 10), other surgical treatments (n = 9), multiple fracture (n = 1), and follow-up < 1 year (n = 1). Twenty-seven knees of 27 patients were analyzed. Avulsed fragment was reduced arthroscopically. One to three cannulated screws (4.0 mm or 5.0 mm in diameter) were used for fixation. Passive knee motion was started in 3–4 weeks. Clinical outcomes were evaluated by Lysholm score, instability of the knee, and complications. Radiological outcomes including nonunion and malunion of the avulsed fragment and physeal growth disturbance were evaluated.ResultsMean age at the time of surgery was 10.1 years (range, 6.2 to 13.8 years). Patients were followed up for a mean of 3.9 years (range, 1.0 to 7.6 years). Fracture types included type III (n = 13), type II (n = 12), and type IV (n = 2) according to Zaricznyj modification of Meyers and McKeever classification. Meniscus was entrapped in five patients. Six patients showed concomitant meniscal tear. Mean Lysholm score at the latest follow-up was 95 (range, 78 to 100). Joint instability was not observed in any patient except one (instability of 5–10 mm). All patients showed full range of knee motion except one (10 degrees of flexion contracture). Screw head impingement against intercondylar notch of the femur was observed in two patients during screw removal procedure. Five knees showed prominent tibial eminence without symptoms. The injured lower limb was longer than the contralateral normal side by a mean of 6.2 mm (range, − 4 to 18 mm).ConclusionsArthroscopically assisted reduction and fixation with cannulated screws is an effective and safe surgical option for treating tibial eminence fracture with few complications.

show abstract

“…As a result, the arthroscopic methods are most commonly applied to stabilize the displaced bony fragment of the tibial eminence nowadays. 28 Much has been published about the different techniques for arthroscopic-assisted reduction and internal fixation for tibial eminence fractures, including absorbable surgical suture of the fragment, fixation with a wire knot, fixation with a cannulated screw, fixation with K-wire, stabilization using absorbable elements, and so on. However, two modes of fixation, suture and screw drilled through bone tunnels are most commonly described, with both satisfactory postsurgery outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…As a result, the arthroscopic methods are most commonly applied to stabilize the displaced bony fragment of the tibial eminence nowadays. 28…”

Section: Discussionmentioning

confidence: 99%

A new technique for arthroscopic reduction and fixation of displaced tibial intercondylar eminence fractures, using suture anchor and EndoButton system

Zhang

Yang

Zhao

et al. 2017

J Orthop Surg (Hong Kong)

View full text Add to dashboard Cite

Aim: The study aims to describe a less invasive technique for displaced tibial intercondylar eminence fractures, using only one bone tunnel with suture anchor and EndoButton system. Methods: Seventeen patients were followed up after arthroscopic fixation for tibial eminence fractures using suture anchor and EndoButton. The patients were followed with clinical examinations such as Lysholm, Tegner, and International Knee Documentation Committee (IKDC) rating scales. Radiographic assessments were also performed during the follow-up for evaluating the healing of the fracture. Results: There were 14 male patients and 3 female patients with 10 right knees, and 7 left knees included. All the fractures healed anatomically at final follow-up. Also, no clinical signs of anterior cruciate ligament deficiency were detected. The mean Lysholm score improved significantly from 74.72 + 3.24 (range from 70 to 79) to 96.2 + 2.54 (range from 89 to 98) (p < 0.001). The IKDC category was abnormal or severely abnormal preoperatively and all the patients improved to normal or nearly normal at final follow-up. The Tegner score also improved significantly postoperatively from 3.45 + 1.02 to 6.34 + 1.22 (p < 0.001). Conclusion: The study demonstrated that the procedure is safe and effective, which can be another option for tibial intercondylar eminence fractures.

show abstract

Bioabsorbable sutures versus screw fixation of displaced tibial eminence fractures: a biomechanical study

Cited by 19 publications

References 25 publications

Tibial Spine Fractures in Children: Evaluation, Management, and Future Directions

Tibial Spine Fractures in Children: Evaluation, Management, and Future Directions

Clinical and radiological outcomes of arthroscopically assisted cannulated screw fixation for tibial eminence fracture in children and adolescents

A new technique for arthroscopic reduction and fixation of displaced tibial intercondylar eminence fractures, using suture anchor and EndoButton system

Contact Info

Product

Resources

About