Comminuted tibial eminence anterior cruciate ligament avulsion fractures: Failure of arthroscopic treatment

Berg, Eugene E.

doi:10.1016/s0749-8063(05)80320-2

Cited by 92 publications

(52 citation statements)

References 15 publications

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“…The limits of the arthroscopic fixation techniques are related to technical difficulty and unstable fixation. Berg [3] reported two arthroscopic suture failures of comminuted intercondylar eminence fractures caused by unstable fixation. Meyers and McKeever warned of the potential poor results in treating intercondylar tibial eminence fractures in adults [20].…”

Section: Discussionmentioning

confidence: 99%

Adult tibial eminence fracture fixation: arthroscopic procedure using K-wire folded fixation

Bonin¹,

Jeunet

Obert

et al. 2007

Knee Surg Sports Traumatol Arthr

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The purpose of this article is to describe a new and simple technique for arthroscopic fixation of tibial intercondylar eminence avulsion fractures using folded surgical pin. This technique allows reduction and fixation of the bone fragment without using special equipment. After standard arthroscopic procedure to explore the knee and to remove fracture debris and blood clot, the bone block is reduced and advanced with the spike of the anterior cruciate ligament tibial drill guide. A 1.8-mm K-wire is drilled through the guide from the proximal tibia into the reduced fragment. It is bent on its end into the joint with a strong needle case. The K-wire is then pulled back until good fragment compression to the tibia appears with the wire starting unbending. Next, the other side is bent on the anterior tibial cortex and cut. This arthroscopic fixation allows elastic compression fragment stabilization that authorizes early weight bearing and rehabilitation programs. The material is extracted by traction after 6 months.

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Section: Discussionmentioning

confidence: 99%

Adult tibial eminence fracture fixation: arthroscopic procedure using K-wire folded fixation

Bonin¹,

Jeunet

Obert

et al. 2007

Knee Surg Sports Traumatol Arthr

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“…McLennan [14] reduced type III fractures arthroscopically and fixed them by percutaneous pinning, and he was probably the first to advocate the advantages of arthroscopic fixation. Suture fixation (metallic, PDS, and nonabsorbable) is indicated when the fractured tibial spine is either small in size or comminuted [2,15,19]. Staples, other than thin ones, have been used arthroscopically, but these may be too large and bulky to fix a fracture of the intercondylar eminence.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic fixation of the fractures of the intercondylar eminence via transquadricipital tendinous portal

Doral

Atay

Leblebicioğlu

et al. 2001

Knee Surg Sports Traumatol Art

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We describe a new technique for arthroscopic reduction and internal fixation of fractures of the intercondylar eminence of the tibia. In this technique cannulated screws are placed through a new portal (transquadricipital tendinous) instead of anteromedial arthroscopic portal. Twelve patients who were treated with this technique for displaced types II and III fractures of the intercondylar eminence of the tibia were reviewed after a mean of 49 months. At follow-up all patients had excellent or good results, without any case of nonunion of the fracture or related complications, such as functional instability. Placement of cannulated screws through transquadricipital tendinous portal achieves fragment reduction easily, provides rigid fixation while avoiding arthrotomy, allowing early mobilization and return to activity.

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“…Many operative treatment options have been described for these fractures, including open [36,74] or arthroscopic [42,43] reduction and casting and open [36,75,76] or arthroscopic [77,78] reduction and fixation. Fixation can be performed with sutures [77][78][79][80][81], (Fig.…”

Section: Tibial Eminence Fracturementioning

confidence: 99%

“…Fixation can be performed with sutures [77][78][79][80][81], (Fig. 5) metal screws [82][83][84][85], bioabsorbable nails [86], Kirschner wires [36,41,43,76], or suture anchors [87,88].…”

Section: Tibial Eminence Fracturementioning

confidence: 99%

“…5) metal screws [82][83][84][85], bioabsorbable nails [86], Kirschner wires [36,41,43,76], or suture anchors [87,88]. Several reports have found that screws can actually weaken the small fragment or cause comminution [78] and thus recommend suture fixation, which has demonstrated similar or improved strength profiles [89][90][91]. Typically some sort of visualization is required to reduce the fracture fragment as there is a high likelihood of entrapment of the intermeniscal ligament or the anterior horn of the medial or lateral meniscus [12,84].…”

Section: Tibial Eminence Fracturementioning

confidence: 99%

See 1 more Smart Citation

Pediatric ACL injuries: evaluation and management

Mall¹,

Paletta

2013

Curr Rev Musculoskelet Med

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The anterior cruciate ligament (ACL) is a stabilizing structure to both anterior translation of the tibia with respect to the femur as well as rotation of the knee joint. Children and adolescents are susceptible to these injuries, and there are some who believe the incidence of ACL injuries in this population is increasing due to year round single sport participation. Pediatric ACL injuries are typically seen in several forms: tibial avulsion fractures, partial ACL tears, and full thickness ligament tears. There were and still are some who feel that ACL injuries should be treated non-operatively in the pediatric and adolescent population; however, recent literature refutes this notion. Several factors must be considered during pediatric and adolescent ACL reconstruction, each of which will be examined in this manuscript, including: status of the physis, reconstruction technique, and graft source.

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Comminuted tibial eminence anterior cruciate ligament avulsion fractures: Failure of arthroscopic treatment

Cited by 92 publications

References 15 publications

Adult tibial eminence fracture fixation: arthroscopic procedure using K-wire folded fixation

Adult tibial eminence fracture fixation: arthroscopic procedure using K-wire folded fixation

Arthroscopic fixation of the fractures of the intercondylar eminence via transquadricipital tendinous portal

Pediatric ACL injuries: evaluation and management

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