Suture Bridge Fixation for Tibial Eminence Fractures

Mann, Matthew A.; Desy, Nicholas M.; Martineau, Paul A.

doi:10.1016/j.arthro.2012.12.014

Cited by 7 publications

(5 citation statements)

References 5 publications

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“…16 These include both traditional and headless screws, [58][59][60] cannulated screws, 54,61 or Kirschner wires (Kwires). 18,62 Suture-based techniques are also popular and include absorbable suture, [63][64][65] nonabsorbable suture, 14,19,20,53,[66][67][68][69][70][71][72][73][74][75] suture anchors, 74,76,77 suture bridge and cortical button constructs, [78][79][80] lasso, 81 and meniscus arrow. 82 Those who prefer metal screws report reliability and procedural simplicity.…”

Section: Fixation Techniquesmentioning

confidence: 99%

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

et al. 2018

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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.

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Section: Fixation Techniquesmentioning

confidence: 99%

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

et al. 2018

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“…Extensive recent developments in the arthroscopic double-row anchor suture-bridge technique for the repair of rotator cuff injuries has resulted in excellent clinical outcomes [16,17]. Furthermore, this technique has been utilized in the treatment of tibial intercondylar eminence fracture, and reported as having good effect [9,10]. In Sawyer's study, a suture shuttle device is used to pass FiberWire sutures, placed in a locked cinch-knot loop, through the anterior ACL adjacent to the fracture fragment.…”

Section: Discussionmentioning

confidence: 99%

“…The anchor suture-bridge technique is a novel surgical approach to treating tibial intercondylar eminence fractures. This technique removes the need to establish an intraoperative bone tunnel, thus avoiding the sequelae of local swelling and effusion, and recent reports have demonstrated its clinical utility [9,10]. In our study, instead of the locked cinch-knot loop seen in Sawyer's study, external anchors were used to achieve firmer fixation.…”

Section: Introductionmentioning

confidence: 92%

Preliminary clinical outcomes of the double-row anchor suture-bridge technique for the fixation of tibial intercondylar eminence fractures in adults: a 12-months minimal follow-up

Chu

Chen

et al. 2021

BMC Musculoskelet Disord

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Background Tibial intercondylar eminence avulsion fractures occur primarily in adolescents and young adults. However, the incidence of such fractures is increasing in adults, concurrent with an increase in sports injuries and traffic accidents. This study describes the fixation-based double-row anchor suture-bridge technique, a novel technique for treating tibial intercondylar eminence fractures in adults; and evaluates its preliminary clinical outcomes. Methods A retrospective evaluation of adult patients with tibial intercondylar eminence fractures treated at our institution from June 2016 to June 2018 was conducted. Seven such patients, treated with the anchor suture-bridge technique, were included. All patients were assessed for knee joint range of motion (ROM), Lysholm knee score, International Knee Documentation Committee (IKDC) Subjective Knee Evaluation Form score, Tegner activity score pre-surgery, and the healing of the fracture at 3, 6 and 12 months minimal post-surgery follow-up. Results Patients were followed for a mean of 12.43 months (range 9-15 months). By the final follow-up, all fractures had fully healed. The mean Lysholm score improved from 27.86 (range, 2 to 54) pre-surgery to 88.14 (range, 81 to 100) 3 months post-surgery (p < 0.05). Similarly, the mean IKDC score improved from 48.86 (range, 43 to 55) to 84.29 (range, 75 to 90) (P < 0.05); and the mean Tegner activity score improved from 1.71 (range, 0 to 4) to 3.29 (range, 2 to 4) (p < 0.05). Furthermore, knee joint ROM, Lysholm scores, IKDC scores, and Tegner activity scores displayed excellent outcomes at the 6 and 12 months minimal follow-up. Conclusion The arthroscopic anchor suture-bridge technique is a valid and secure method for achieving effective fixation of tibial intercondylar eminence fractures in adults.

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“…A single suture anchor was enough to fix the type II fractures, while a comminuted fracture had to be fixed with 2 suture anchors as described in our study. Suture anchors may be indicated for both adult and pediatric patients, as they are less invasive and growth plate was spared without drilling tibial tunnels [ 33 , 34 ]. However, the blood supply of the ACL may be damaged by being pierced.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Fixation for Tibial Eminence Fractures: Comparison of Double-Row and Transosseous Anchor Knot Fixation Techniques with Suture Anchors

Ji¹,

Liu²,

Li³

et al. 2018

Med Sci Monit

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BackgroundTibial eminence fractures often occur during sports participation, but the optimum choice of technique for treatment is still controversial. The aim of the current work was to compare the clinical outcomes of 2 new arthroscopic anchor fixation techniques for tibial eminence fracture.Material/MethodsWe included 72 isolated tibial eminence fracture patients treated at our hospital from October 2010 to August 2015; 37 patients received the classic double-row (DR) suture anchor fixation technique and 35 received the transosseous anchor knot (TAK) fixation under arthroscopy. The clinical efficacies of the 2 techniques were assessed by radiographs, Lysholm score, and International Knee Documentation Committee (IKDC) score in follow-ups.ResultsPatients were followed for 37.6 months (range, 18–54 months). There was no significant difference of the operative time between groups (P=0.169). Postoperative radiographs of all patients showed accurate reduction and fracture healing within 3 months. Lysholm and IKDC scores improved significantly compared with preoperative scores (P<0.001). However, no significant difference in the knee range of motion or improvement of Lysholm and IKDC scores was found between groups (P>0.05).ConclusionsThe DR and TAK techniques provide precise reduction and stable fixation methods for treating tibial eminence fractures, and the clinical outcomes of the 2 arthroscopic techniques with suture anchors are satisfactory.

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Suture Bridge Fixation for Tibial Eminence Fractures

Cited by 7 publications

References 5 publications

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

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

Preliminary clinical outcomes of the double-row anchor suture-bridge technique for the fixation of tibial intercondylar eminence fractures in adults: a 12-months minimal follow-up

Arthroscopic Fixation for Tibial Eminence Fractures: Comparison of Double-Row and Transosseous Anchor Knot Fixation Techniques with Suture Anchors

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