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.
References
Aderinto J, Walmsley P, Keating JF (2008) Fractures of the tibial spine: epidemiology and outcome. Knee 15(3):164–167
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):116–121
Davies EM, McLaren MI (2001) Type III tibial spine avulsion treated with arthroscopic Acutrak TM screw reattachment. Clin Orthop Relat Res 388:205–208
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
Griffith JF, Antonio GE, Tong CWC, Ming CK (2004) Cruciate ligament avulsion fractures. Arthroscopy 20(8):803–812
Hargrove R, Parsons S, Payne R (2004) Anterior tibial spine fracture—an easy fracture to miss. Accid Emerg Nurs 12(3):173–175
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):63–68
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.e4
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.e3
Lehman RA Jr, Murphy KP, Machen MP, Kuklo TR (2003) Modified arthroscopic suture fixation of a displace tibial eminence fracture. Arthroscopy 19(2):E6
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 18:1476–1480
Meyers MH, McKeever FM (1959) Fracture of the intercondylar eminence of the tibia. J Bone Joint Surg 41(2):209–222
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):102–105
Osti L, Merlo F, Liu SH, Bocchi L (2000) A simple modified arthroscopic procedure for fixation of displaced tibial eminence fractures. Arthroscopy 16(4):379–382
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):243–248
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):203–207
Reynders P, Reynders K, Broos P (2002) Pediatric and adolescent tibial eminence fractures: arthroscopic cannulated screw fixation. J Trauma 53(1):49–54
Song HS, Williams GR Jr (2008) Arthroscopic reduction and fixation with suture-bridge technique for displaced or comminuted greater tuberosity fractures. Arthroscopy 24(8):956–960
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 20:17–21
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):1239–1243
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):272–276
Zaricznyj B (1977) Avulsion fracture of the tibial eminence: treatment by open reduction and pinning. J Bone Joint Surg 59(8):1111–1114
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Mann, M.A., Desy, N.M. & Martineau, P.A. A new procedure for tibial spine avulsion fracture fixation. Knee Surg Sports Traumatol Arthrosc 20, 2395–2398 (2012). https://doi.org/10.1007/s00167-012-1906-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00167-012-1906-9