Treatment of Tibial Eminence Fractures

Mardam-Bey, Sami W.; Bernholt, David L.; Bogunovic, Ljiljana; Wright, Rick W.

doi:10.1016/b978-0-323-38962-4.00138-7

Cited by 2 publications

(3 citation statements)

References 36 publications

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“…Other arthroscopic fixation techniques have also been reported, including bioabsorbable nails, percutaneous K-wires, sutures with 1 anchor, and suspensory button fixation. [ 1 , 10 – 12 , 21 ] Overall, clinical results with such procedures have been excellent. However, most of these are time consuming and technically demanding, require removal of hard tissues, and can sometimes lead to complications.…”

Section: Discussionmentioning

confidence: 99%

“…Different arthroscopic fixation techniques (materials) have been reported such as Kirschner wires, cannulated screws, pull-out sutures, sutures with anchors, metallic sutures, intra-articular buttons, bioabsorbable nails, Herbert screws, and tight-rope fixations. [ 1 , 8 – 10 ] However, some of these techniques introduce risks of fracture fragment comminution, extension block by a screw head, implant breakage, loosening or migration, infection, and nonunion. In addition, most of them are technically demanding and require removal of hard implant.…”

Section: Introductionmentioning

confidence: 99%

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

Jie-bin

et al. 2020

Medicine

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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

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

Jie-bin

et al. 2020

Medicine

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“…However, the use of dynamic compression plates for fracture repair has several disadvantages, such as delayed union, existence of microscopic fracture gaps and cortical bone loss after plate removal [ 30 ]. For instance, Mardam-Bey et al reported outcomes for tibial eminence fracture repair using screw fixation on dynamic compression plates, reporting that 20% of patients show anterior screw relaxation following treatment and 10% of patients experience rotational instability and loss of motion [ 33 ].…”

Section: Current Surgical Approaches For Fracture Repairmentioning

confidence: 99%

Biodegradable and Biocompatible Adhesives for the Effective Stabilisation, Repair and Regeneration of Bone

et al. 2022

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Bone defects and complex fractures present significant challenges for orthopaedic surgeons. Current surgical procedures involve the reconstruction and mechanical stabilisation of complex fractures using metal hardware (i.e., wires, plates and screws). However, these procedures often result in poor healing. An injectable, biocompatible, biodegradable bone adhesive that could glue bone fragments back together would present a highly attractive solution. A bone adhesive that meets the many clinical requirements for such an application has yet to be developed. While synthetic and biological polymer-based adhesives (e.g., cyanoacrylates, PMMA, fibrin, etc.) have been used effectively as bone void fillers, these materials lack biomechanical integrity and demonstrate poor injectability, which limits the clinical effectiveness and potential for minimally invasive delivery. This systematic review summarises conventional approaches and recent developments in the area of bone adhesives for orthopaedic applications. The required properties for successful bone repair adhesives, which include suitable injectability, setting characteristics, mechanical properties, biocompatibility and an ability to promote new bone formation, are highlighted. Finally, the potential to achieve repair of challenging bone voids and fractures as well as the potential of new bioinspired adhesives and the future directions relating to their clinical development are discussed.

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Treatment of Tibial Eminence Fractures

Cited by 2 publications

References 36 publications

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

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

Biodegradable and Biocompatible Adhesives for the Effective Stabilisation, Repair and Regeneration of Bone

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