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

  • Arthroscopy and Sports Medicine
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

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.

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References

  1. Shin YW, Uppstrom TJ, Haskel JD et al (2015) The tibial eminence fracture in skeletally immature patients[J]. Curr Opin Pediatr 27(1):50–57

    Article  PubMed  Google Scholar 

  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):185–188

    Article  PubMed  Google Scholar 

  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):49–54

    Article  Google Scholar 

  4. Meyers MH, McKEEVER FM (1970) Fracture of the intercondylar eminence of the tibia[J]. J Bone Jt Surg Am 52(8):1677–1684

    Article  CAS  Google Scholar 

  5. Zaricznyj B (1977) Avulsion fracture of the tibial eminence: treatment by open reduction and pinning[J]. J Bone Jt Surg Am 59(8):1111–1114

    Article  CAS  Google Scholar 

  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):73–90

    Article  PubMed  PubMed Central  Google Scholar 

  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):255–259

    Article  CAS  PubMed  Google Scholar 

  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):403–408

    Article  Google Scholar 

  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):298–301

    Article  PubMed  Google Scholar 

  10. Coyle C, Jagernauth S, Ramachandran M (2014) Tibial eminence fractures in the paediatric population: a systematic review[J]. J Child Orthop 8(2):149–159

    Article  PubMed  PubMed Central  Google Scholar 

  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):681–687

    Article  Google Scholar 

  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):150–154

    Article  CAS  PubMed  Google Scholar 

  13. Tegner Y, Lysholm J (1985) Rating systems in the evaluation of knee ligament injuries[J]. Clin Orthop Relat Res 198:42–49

    Google Scholar 

  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):226–234

    Article  CAS  PubMed  Google Scholar 

  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):437–439

    Article  Google Scholar 

  16. Matthews DE, Geissler WB (1994) Arthroscopic suture fixation of displaced tibial eminence fractures[J]. Arthrosc J Arthrosc Relat Surg 10(4):418–423

    Article  CAS  Google Scholar 

  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):2334–2339

    Article  PubMed  Google Scholar 

  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):86–92

    Article  Google Scholar 

  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):1172–1176

    Article  Google Scholar 

  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):113–121

    Article  Google Scholar 

  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):741–747

    Article  PubMed  Google Scholar 

  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–e119

    Article  PubMed  Google Scholar 

  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):260–262

    CAS  PubMed  Google Scholar 

  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–e687

    Article  PubMed  PubMed Central  Google Scholar 

  25. Verdano MA, Pellegrini A, Lunini E et al (2014) Arthroscopic absorbable suture fixation for tibial spine fractures[J]. Arthrosc Tech 3(1):e45–e48

    Article  PubMed  Google Scholar 

  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):1476–1480

    Article  PubMed  Google Scholar 

  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):286–289

    Article  PubMed  Google Scholar 

  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):1239–1243

    Article  Google Scholar 

  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):300–312

    Article  Google Scholar 

  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):117–122

    Article  PubMed  Google Scholar 

  31. Harris JD, Abrams GD, Yanke AB et al (2014) Suture anchor repair of quadriceps tendon rupture[J]. Orthopedics 37(3):183–186

    Article  Google Scholar 

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Authors and Affiliations

  1. The Osteopathy Department, Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China

    Xinxian Xu, Hong Wen & Xiaoyun Pan

  2. The Osteopathy Department, Changhai Hospital, Second Military Medical University, Shanghai, China

    Zhongtang Liu

Authors
  1. Xinxian Xu
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  2. Zhongtang Liu
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  3. Hong Wen
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  4. Xiaoyun Pan
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Correspondence to Xiaoyun Pan.

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The authors declare that they have no conflict of interest.

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There is no funding source.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Xu, X., Liu, Z., Wen, H. et al. Arthroscopic fixation of pediatric tibial eminence fractures using suture anchors: a mid-term follow-up. Arch Orthop Trauma Surg 137, 1409–1416 (2017). https://doi.org/10.1007/s00402-017-2770-3

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  • DOI: https://doi.org/10.1007/s00402-017-2770-3

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