Better functional outcomes for ORIF in tibial eminence fracture treatment: a national comparative multicentric study of ORIF vs ARIF

  • Régis PailhéEmail author
  • Thomas Bauer
  • Xavier Flecher
  • Nicolas Bonnevialle
  • Xavier Roussignol
  • Dominique Saragaglia
  • Matthieu Ehlinger
  • The SOFCOT



Tibial eminence fractures can occur in adults and are equivalent to an acute ACL rupture. The purpose of this retrospective study was to compare the therapeutic outcomes of ARIF versus ORIF in tibial eminence fractures. Our hypothesis was that ARIF does not offer better results.


A retrospective national multicentric study was conducted in five university hospitals between 2010 and 2015. A total of 65 consecutive patients were included. 33 patients were treated with ARIF and 32 with ORIF. Clinical functional outcomes were assessed using the Lysholm score and IKDC score. Radiographic findings were recorded, and a statistical analysis carried out.


IKDC score at the mean last follow-up of 68.8 ± 11.8 months was significantly higher in the ORIF group with a mean difference of 20.2 points ± 8.9 (p = 0.028). There were early osteoarthritis findings in 12 patients (18.4%). At last follow-up, 7 patients (10.7%) presented complications.


In this retrospective multicentric study, better functional outcomes were observed in the ORIF group. This difference needs to be carefully interpreted as many confounding factors exist. In terms of complications, the results for both ORIF and ARIF are similar at midterm follow-up. ORIF should remain gold standard for tibial eminence fracture treatment.

Level of evidence



Tibial eminence fracture ARIF ORIF 


Author contributions

All authors did acquisition and analysis of data. All authors have read and approved the final submitted manuscript.


No external funding was used.

Compliance with ethical standards

Conflict of interest

Authors declare that they have no conflict of interest related to this study.

Ethical approval

Each author certifies that his or her institution approved the human protocol for this investigation and that all investigations were conducted in conformity with ethical principles of research.

Informed consent

Informed consent was obtained for all subjects who participated in the study.


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Copyright information

© European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2019

Authors and Affiliations

  • Régis Pailhé
    • 1
    • 9
    Email author
  • Thomas Bauer
    • 2
  • Xavier Flecher
    • 3
    • 4
  • Nicolas Bonnevialle
    • 5
  • Xavier Roussignol
    • 6
  • Dominique Saragaglia
    • 1
  • Matthieu Ehlinger
    • 7
  • The SOFCOT
    • 8
  1. 1.Department of Orthopaedic Surgery and Sport TraumatologyGrenoble South Teaching HospitalÉchirolles CedexFrance
  2. 2.Hôpitaux Universitaires Paris Ile-de-France Ouest, Assistance Publique-Hôpitaux de ParisBoulogne-BillancourtFrance
  3. 3.Institute for LocomotionAix-Marseille UniversityMarseilleFrance
  4. 4.Department of Orthopedics and TraumatologySt Marguerite HospitalMarseilleFrance
  5. 5.Institut LocomoteurHôpital Pierre-Paul RiquetToulouseFrance
  6. 6.Department of Orthopaedics Surgery and TraumatologyRouen University HospitalRouenFrance
  7. 7.Service de Chirurgie Orthopédique Et de TraumatologieHôpital de Hautepierre, Hôpitaux Universitaires de StrasbourgStrasbourg CedexFrance
  8. 8.SOFCOTParis CedexFrance
  9. 9.Service de Chirurgie OrthopédiqueHôpital Sud GrenobleGrenoble CedexFrance

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