Arthroscopic treatment of adult displaced tibial eminence fractures with anchor and pushlock fixation

Abstract

Arthroscopic techniques are considered the gold standard for treatment of displaced avulsion fractures of the anterior cruciate ligament. However, most arthroscopic surgical techniques and fixation methods are technically demanding and require removal of hard implant. This report describes a new, easy, safe, and all-arthroscopic method for reduction and fixation of displaced tibial intercondylar eminence fractures by using 1 anchor and 1 Pushlock. From January 2015 to June 2017, 8 adult patients with type II and III displaced tibial intercondylar eminence fractures were operated using this technique. Clinical assessment included patient demographics, cause of injury, delay before surgery, operation time, time to return to work and sport, International Knee Documentation Committee scores, and Lysholm knee scores. The average operation time was 48 minutes. The average follow-up period was 12.5 months. At the 6-month follow-up, all patients had acquired fracture union and complete functional recovery and were able to return to work. International Knee Documentation Committee objective scores and Lysholm knee scores were 92.4 (range 88–94) and 93.6 (range 90–96), respectively. At the last follow-up, anterior drawer, Lachman's test, and pivot shift tests were negative, and all patients had returned to their preinjury activity levels. Arthroscopic fixation by use of 1 anchor and 1 Pushlock is an easy, safe, and minimally invasive technique for treatment of displaced tibial intercondylar eminence fractures and does not require further surgery to remove fixation devices. Level of Evidence: Level IV, therapeutic case series

[Retracted] Effects of Modified Duhuo Jisheng Decoction Combined with Arthroscopic Surgery on Bone Metabolism, Oxidative Stress, and Serum TLR4 and TGF‐β1 in Patients with Knee Osteoarthritis

“…However, from the analysis of clinical data in recent years, due to the different pathogenic factors and constitutions of patients, the effective rate of surgery has been significantly decreased in some patients. Therefore, selecting certain combined treatment according to the situation of patients after knee arthroscopy can improve the overall treatment effect of KOA [ 15 ].…”

Primary Repair of Anterior Cruciate Ligament Injuries

“…The mean IKDC subjective score and Lysholm score were 86 and 92, respectively. Several other case series supported these outcomes as they noted similar short and midterm results 48,49 .…”

Arthroscopic fixation techniques for tibial eminence fractures in pediatric patients: a review

“…The authors concluded that this technique is suitable for all types of TEFs, and is able to apply uniform planar compression to the avulsed fracture fragments rather than the point compression fixation from a single row of anchor, thereby promoting fracture healing and preventing fragmentation. Although Mann et al did not state whether their case was adolescents or not, this technique was quickly recognized and widely accepted, with several variations of the procedure ultimately being derived ( 30 – 34 ). Overall, due to the increasing popularity of arthroscopic manipulation techniques, the fact that anchor technique results in little damage to the epiphysis and fixation is very stable, it has gained popularity in recent years, showing the potential to become a mainstream surgery in the future.…”