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

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Archives of Orthopaedic and Trauma Surgery
Published in: Archives of Orthopaedic and Trauma Surgery 10/2017

01-10-2017 | Arthroscopy and Sports Medicine

Arthroscopic fixation of pediatric tibial eminence fractures using suture anchors: a mid-term follow-up

Authors: Xinxian Xu, Zhongtang Liu, Hong Wen, Xiaoyun Pan

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 10/2017

Login to get access

Abstract

Purpose

The aim of this study was to follow a group of skeletally immature patients who received arthroscopy-assisted fixation of the displaced tibial eminence fractures with suture anchors and evaluate the clinical results.

Methods

Twenty-one pediatric patients with displaced tibial eminence fractures were enrolled in this retrospectively study. They received arthroscopy-assisted reduction and fixation using suture anchors. All cases were followed up for 40–47 months with a mean of 43.4 months. Follow-up examinations included radiographic assessment, Lysholm score, Tegner score, International Knee Documentation Committee (IKDC) rating scale and KT-1000 test.

Result

Twenty patients were available for our final evaluations. They improved significantly at the final follow-up compared with preoperative examinational results with respect to the results of radiographic assessment, Lysholm score, Tegner score, IKDC rating scale and KT-1000 test.

Conclusion

Arthroscopy-assisted reduction and fixation of the displaced tibial eminence fractures using suture anchors is a simple and reliable technique and is suitable for skeletally immature patients.
Literature
1.
Shin YW, Uppstrom TJ, Haskel JD et al (2015) The tibial eminence fracture in skeletally immature patients[J]. Curr Opin Pediatr 27(1):50–57CrossRefPubMed
2.
Kocher MS, Mandiga R, Klingele K et al (2004) Anterior cruciate ligament injury versus tibial spine fracture in the skeletally immature knee: a comparison of skeletal maturation and notch width index[J]. J Pediatr Orthop 24(2):185–188CrossRefPubMed
3.
Reynders P, Reynders K, Broos P (2002) Pediatric and adolescent tibial eminence fractures: arthroscopic cannulated screw fixation[J]. J Trauma Acute Care Surg 53(1):49–54CrossRef
4.
Meyers MH, McKEEVER FM (1970) Fracture of the intercondylar eminence of the tibia[J]. J Bone Jt Surg Am 52(8):1677–1684CrossRef
5.
Zaricznyj B (1977) Avulsion fracture of the tibial eminence: treatment by open reduction and pinning[J]. J Bone Jt Surg Am 59(8):1111–1114CrossRef
6.
Osti L, Buda M, Soldati F et al (2016) Arthroscopic treatment of tibial eminence fracture: a systematic review of different fixation methods[J]. Br Med Bull 118(1):73–90CrossRefPubMedPubMedCentral
7.
Delcogliano A, Chiossi S, Caporaso A et al (2003) Tibial intercondylar eminence fractures in adults: arthroscopic treatment[J]. Knee Surg Sports Traumatol Arthrosc 11(4):255–259CrossRefPubMed
8.
Tudisco C, Giovarruscio R, Febo A et al (2010) Intercondylar eminence avulsion fracture in children: long-term follow-up of 14 cases at the end of skeletal growth[J]. J Pediatr Orthopaed B 19(5):403–408CrossRef
9.
Vander Have KL, Ganley TJ, Kocher MS et al (2010) Arthrofibrosis after surgical fixation of tibial eminence fractures in children and adolescents[J]. Am J Sports Med 38(2):298–301CrossRefPubMed
10.
Coyle C, Jagernauth S, Ramachandran M (2014) Tibial eminence fractures in the paediatric population: a systematic review[J]. J Child Orthop 8(2):149–159CrossRefPubMedPubMedCentral
11.
Hapa O, Barber FA, Süner G et al (2012) Biomechanical comparison of tibial eminence fracture fixation with high-strength suture, EndoButton, and suture anchor[J]. Arthrosc J Arthrosc Relat Surg 28(5):681–687CrossRef
12.
Lysholm J, Gillquist J (1982) Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale[J]. Am J Sports Med 10(3):150–154CrossRefPubMed
13.
Tegner Y, Lysholm J (1985) Rating systems in the evaluation of knee ligament injuries[J]. Clin Orthop Relat Res 198:42–49
14.
Hefti E, Müller W, Jakob RP et al (1993) Evaluation of knee ligament injuries with the IKDC form[J]. Knee Surg Sports Traumatol Arthrosc 1(3–4):226–234CrossRefPubMed
15.
Watts CD, Larson AN, Milbrandt TA (2016) Open versus arthroscopic reduction for tibial eminence fracture fixation in children[J]. J Pediatr Orthopaed 36(5):437–439CrossRef
16.
Matthews DE, Geissler WB (1994) Arthroscopic suture fixation of displaced tibial eminence fractures[J]. Arthrosc J Arthrosc Relat Surg 10(4):418–423CrossRef
17.
Seon JK, Park SJ, Lee KB et al (2009) A clinical comparison of screw and suture fixation of anterior cruciate ligament tibial avulsion fractures[J]. Am J Sports Med 37(12):2334–2339CrossRefPubMed
18.
Lubowitz JH, Elson WS, Guttmann D (2005) Part II: arthroscopic treatment of tibial plateau fractures: intercondylar eminence avulsion fractures[J]. Arthrosc J Arthrosc Relat Surg 21(1):86–92CrossRef
19.
Bong MR, Romero A, Kubiak E et al (2005) Suture versus screw fixation of displaced tibial eminence fractures: a biomechanical comparison[J]. Arthrosc J Arthrosc Relat Surg 21(10):1172–1176CrossRef
20.
Hunter RE, Willis JA (2004) Arthroscopic fixation of avulsion fractures of the tibial eminence: technique and outcome[J]. Arthrosc J Arthrosc Relat Surg 20(2):113–121CrossRef
21.
Hirschmann MT, Mayer RR, Kentsch A et al (2009) Physeal sparing arthroscopic fixation of displaced tibial eminence fractures: a new surgical technique[J]. Knee Surg Sports Traumatol Arthrosc 17(7):741–747CrossRefPubMed
22.
Fabricant PD, Osbahr DC, Green DW (2011) Management of a rare complication after screw fixation of a pediatric tibial spine avulsion fracture: a case report with follow-up to skeletal maturity[J]. J Orthop Trauma 25(12):e115–e119CrossRefPubMed
23.
Bale RS, Banks AJ (1995) Arthroscopically guided Kirschner wire fixation for fractures of the intercondylar eminence of the tibia[J]. J R Coll Surg Edinb 40(4):260–262PubMed
24.
Boutsiadis A, Karataglis D, Agathangelidis F et al (2014) Arthroscopic 4-point suture fixation of anterior cruciate ligament tibial avulsion fractures[J]. Arthrosc Tech 3(6):e683–e687CrossRefPubMedPubMedCentral
25.
Verdano MA, Pellegrini A, Lunini E et al (2014) Arthroscopic absorbable suture fixation for tibial spine fractures[J]. Arthrosc Tech 3(1):e45–e48CrossRefPubMed
26.
Lu XW, Hu XP, Jin C et al (2010) Reduction and fixation of the avulsion fracture of the tibial eminence using mini-open technique[J]. Knee Surg Sports Traumatol Arthrosc 18(11):1476–1480CrossRefPubMed
27.
In Y, Kim JM, Woo YK et al (2008) Arthroscopic fixation of anterior cruciate ligament tibial avulsion fractures using bioabsorbable suture anchors[J]. Knee Surg Sports Traumatol Arthrosc 16(3):286–289CrossRefPubMed
28.
Vega JR, Irribarra LA, Baar AK et al (2008) Arthroscopic fixation of displaced tibial eminence fractures: a new growth plate–sparing method[J]. Arthrosc J Arthrosc Relat Surg 24(11):1239–1243CrossRef
29.
Ying Z, Lin T, Yan S (2014) Arthroscopic single-row versus double-row technique for repairing rotator cuff tears: a systematic review and meta-analysis[J]. Orthopaed Surg 6(4):300–312CrossRef
30.
Kiliçoğlu Ö, Türker M, Yildız F et al (2014) Suture anchor tenodesis in repair of distal Achilles tendon injuries[J]. Eur J Orthop Surg Traumatol 24(1):117–122CrossRefPubMed
31.
Harris JD, Abrams GD, Yanke AB et al (2014) Suture anchor repair of quadriceps tendon rupture[J]. Orthopedics 37(3):183–186CrossRef
Metadata
Title
Arthroscopic fixation of pediatric tibial eminence fractures using suture anchors: a mid-term follow-up
Authors
Xinxian Xu
Zhongtang Liu
Hong Wen
Xiaoyun Pan
Publication date
01-10-2017
Publisher
Springer Berlin Heidelberg
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 10/2017
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-017-2770-3

Other articles of this Issue 10/2017

Archives of Orthopaedic and Trauma Surgery 10/2017 Go to the issue

Knee Arthroplasty

Coronal tibiofemoral subluxation is not an independent risk factor for total knee arthroplasty in patients with moderate to severe varus-osteoarthritis: data from the “Osteoarthritis Initiative”

Arthroscopy and Sports Medicine

Leukocyte-reduced platelet-rich plasma increases proliferation of tenocytes treated with prednisolone: a cell cycle analysis

Orthopaedic Surgery

Current insights into the aetiology of adolescent idiopathic scoliosis

Trauma Surgery

The female geriatric proximal humeral fracture: protagonist for straight antegrade nailing?

Trauma Surgery

Dynamic hip screw and fibular strut graft for fixation of fresh femoral neck fracture with posterior comminution

Trauma Surgery

Exposure of medical staff to radiation during osteosynthesis of proximal femoral fracture: descriptive analysis and comparison of different devices