Tension band suture in isolated tibial tubercle avulsion: A case report and review literatures

A novel technique of tibial tuberosity fracture fixation with two knotless suture anchors in an adult: A case report and literature review

“…Parinyakhup et al 13 suggested a fixation method using transosseous sutures, instead of suture anchors, with the same suture configuration as our method. This surgical technique is likely to share most of the advantages of our method.…”

Extensor mechanism reconstruction and joint preservation surgery following a tibial tuberosity fracture in giant cell tumor of bone: A case report

“…An isolated tibial tuberosity fracture in an adult is very uncommon. Our literature search revealed only five reports describing this injury in normal bone, three in Paget's disease of bone and in one case involving a Giant Cell Tumor of bone [2] , [5] , [8] , [9] , [10] , [11] , [12] , [13] , [14] . Table 1 .…”

“… Study Year Comorbidity Sex Age (yrs) Mechanism of injury Fixation method Kanawati and Lorentzos [14] . 2009 Nil F 88 Low energy fall Cannulated Screw and Tension Band Wiring Hirschmann et al [12] 2009 Nil F 81 Knee gave away while descending stairs Screws and Arthrex FibreWire® Pires e Albuquerque et al [11] 2013 Nil M 62 Direct trauma Cannulated Screws 6.5 mm Parinyakhup and Boonriong [2] 2020 Nil F 64 Direct trauma Arthrex FibreWire® Brown et al [13] 2020 Nil M 86 Low energy fall Screw and Arthrex Corkscrew® Suture Anchor Coombes W [10] . 1972 PDB M 32 Low energy fall Sutures through the bone Douglas D.L.…”

“…We used a block of tricortical iliac crest autograft and overlapped it with the tuberosity fragment bound together with 2 Vicryl sutures through drill holes. The manufactured composite was more robust, which facilitated a secure reattachment with FibreWire ® (Arthrex Inc. USA) sutures using the tension band technique described by Parinyakhup and Booriong and reinforced with a retinacular repair [2] ( Fig. 3 B).…”

“…These fractures are classified according to Ogden and constitute <3 % of all epiphyseal injuries [1] . The mechanism of injury is often attributed to a powerful quadriceps contraction which overwhelms the strength of the tibial physis resulting in a fracture [2] . However, isolated tibial tuberosity fractures in adults are extremely rare, and most are caused by high energy trauma and associated with complex knee injuries [3] , [4] .…”