Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 12/2012

01-12-2012 | Knee

A new procedure for tibial spine avulsion fracture fixation

Authors: Matthew A. Mann, Nicholas M. Desy, Paul A. Martineau

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 12/2012

Login to get access

Abstract

Several techniques have been described to repair tibial spine avulsion fractures. Most of these methods use either internal fixation with a screw or suture fixation over a tibial tunnel bone bridge. This article presents a new technique for the surgical management of tibial spine avulsion fractures. The technique involves the creation of a suture mattress to compress and reduce the tibial spine into its fracture bed. The advantages of this technique are that it creates four points of fixation, aids with reduction, and allows for compression of the tibial spine fragment anatomically in its fracture bed.
Level of evidence V.
Literature
1.
Aderinto J, Walmsley P, Keating JF (2008) Fractures of the tibial spine: epidemiology and outcome. Knee 15(3):164–167PubMedCrossRef
2.
Ahn JH, Yoo JC (2005) Clinical outcome of arthroscopic reduction and suture for displace acute and chronic tibial spine fractures. Knee Surg Sports Traumatol Arthrosc 13(2):116–121PubMedCrossRef
3.
Davies EM, McLaren MI (2001) Type III tibial spine avulsion treated with arthroscopic Acutrak TM screw reattachment. Clin Orthop Relat Res 388:205–208PubMedCrossRef
4.
Gan Y, Xu D, Ding J, Xu Y (2011) Tension band wire fixation for anterior cruciate ligament avulsion fracture: biomechanical comparison of four fixation techniques. Knee Surg Sports Traumatol Arthrosc. doi:10.​1007/​s00167-011-1649-z PubMed
5.
Griffith JF, Antonio GE, Tong CWC, Ming CK (2004) Cruciate ligament avulsion fractures. Arthroscopy 20(8):803–812PubMed
6.
Hargrove R, Parsons S, Payne R (2004) Anterior tibial spine fracture—an easy fracture to miss. Accid Emerg Nurs 12(3):173–175PubMedCrossRef
7.
Janarv PM, Westblad P, Johansson C, Hirsch G (1995) Long-term follow-up of anterior tibial spine fractures in children. J Pediatr Orthop 15(1):63–68PubMedCrossRef
8.
Ji JH, Kim WY, Ra KH (2007) Arthroscopic double-row suture anchor fixation of minimally displaced greater tuberosity fractures. Arthroscopy 23(10):1133.e1–1133.e4CrossRef
9.
Kim KC, Rhee KJ, Shin HD, Kim YM (2008) Arthroscopic fixation for displaced greater tuberosity fracture using the suture-bridge technique. Arthroscopy 24(1):120.e1–120.e3CrossRef
10.
Lehman RA Jr, Murphy KP, Machen MP, Kuklo TR (2003) Modified arthroscopic suture fixation of a displace tibial eminence fracture. Arthroscopy 19(2):E6PubMedCrossRef
11.
Lu XW, Hu XP, Jin C, Zhu T, Ding Y, Dai LY (2010) Reduction and fixation of the avulsion fracture of the tibial eminence using mini-open technique. Knee Surg Sports Traumatol Arthrosc 18:1476–1480PubMedCrossRef
12.
Meyers MH, McKeever FM (1959) Fracture of the intercondylar eminence of the tibia. J Bone Joint Surg 41(2):209–222PubMed
13.
Millett PJ, Braun S (2009) The “bony Bankart bridge” procedure: a new arthroscopic technique for reduction and internal fixation of a boney Bankart lesion. Arthroscopy 25(1):102–105PubMedCrossRef
14.
Osti L, Merlo F, Liu SH, Bocchi L (2000) A simple modified arthroscopic procedure for fixation of displaced tibial eminence fractures. Arthroscopy 16(4):379–382PubMedCrossRef
15.
Perugia D, Basiglini A, Vadala A, Ferretti A (2009) Clinical and radiological results of arthroscopically treated tibial spine fractures in childhood. Int Orthop 33(1):243–248PubMedCrossRef
16.
Rademakers MV, Kerkhoffs GM, Kager J, Goslings JC, Marti RK, Raaymakers EL (2009) Tibial spine fractures: a long-term follow-up study of open reduction and internal fixation. J Orthop Trauma 23(3):203–207PubMedCrossRef
17.
Reynders P, Reynders K, Broos P (2002) Pediatric and adolescent tibial eminence fractures: arthroscopic cannulated screw fixation. J Trauma 53(1):49–54PubMedCrossRef
18.
Song HS, Williams GR Jr (2008) Arthroscopic reduction and fixation with suture-bridge technique for displaced or comminuted greater tuberosity fractures. Arthroscopy 24(8):956–960PubMedCrossRef
19.
Su WR, Wang PH, Wang HN, Lin CJ (2011) A simple, modified arthroscopic suture fixation of avulsion fracture of the tibial intercondylar eminence in children. J Pediatr Orthop B 20:17–21PubMedCrossRef
20.
Vega JR, Irribarra LA, Baar AK, Iniguez M, Salgado M, Gana N (2008) Arthroscopic fixation of displaced tibial eminence fractures: a new growth plate-sparing method. Arthroscopy 24(11):1239–1243PubMedCrossRef
21.
Yang SW, Lu YC, Teng HP, Wong CY (2005) Arthroscopic reduction and suture fixation of displaced tibial intercondylar eminence fractures in adults. Arch Orthop Trauma Surg 125(4):272–276PubMedCrossRef
22.
Zaricznyj B (1977) Avulsion fracture of the tibial eminence: treatment by open reduction and pinning. J Bone Joint Surg 59(8):1111–1114PubMed
Metadata
Title
A new procedure for tibial spine avulsion fracture fixation
Authors
Matthew A. Mann
Nicholas M. Desy
Paul A. Martineau
Publication date
01-12-2012
Publisher
Springer-Verlag
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 12/2012
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-012-1906-9

Other articles of this Issue 12/2012

Knee Surgery, Sports Traumatology, Arthroscopy 12/2012 Go to the issue

Elbow

New mechanism of the posterior elbow dislocation

Knee

The relationship between quadriceps angle and tibial tuberosity–trochlear groove distance in patients with patellar instability

Knee

Accuracy of magnetic resonance imaging, magnetic resonance arthrography and computed tomography for the detection of chondral lesions of the knee

Knee

Comparison of the minimally invasive and standard medial parapatellar approaches for primary total knee arthroplasty

Hip

Decreased femoral head–neck offset: a possible risk factor for ACL injury

Knee

Microfracture for knee chondral defects: a survey of surgical practice among Canadian orthopedic surgeons