Abstract
Results obtained from the surgical treatment of 15 cases of type II and III tibial intercondylar eminence fractures—according to the classification of Meyers and McKeever [12, 13]—are reported in this paper. The average age of the patients observed was 22 years (range 18–41). All patients underwent an arthroscopic procedure of reduction and fixation. We used a bioabsorbable suture in ten patients and a nonabsorbable suture in five patients. The suture was passed at the ACL insertion, then pulled out through drilled tunnels and tied onto the anterior surface of the tibial metaphysis. Two of the 15 patients treated underwent an additional arthroscopic procedure because of arthrofibrosis, 2 months after the first surgical intervention. All patients were examined clinically and radiographically with an average follow-up of 18 months. According to the IKDC scoring system, recovery of the 13 patients not undergoing additional intervention was graded as normal or near normal. In 14 patients, anterior laxity was inferior to 5 mm at the KT-1000 arthrometer evaluation. Absorbable or nonabsorbable suture fixation is effective for obtaining a secure fixation and achieves good clinical and functional mid-term results.
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Berg EE (1993) Comminuted tibial eminence anterior cruciate ligament avulsion fractures: failure of arthroscopic treatment. Arthroscopy 9:446–450
Fabbriciani C, Delcogliano A (1980) Le fratture recenti delle spine tibiali; criteri diagnostici e terapeutici. Arch Putti 30:231–247
Jung YB, Yum JK, Koo BH (1999) A new method of arthroscopic treatment of tibial eminence fractures with eyed Steinmann pins. Arthroscopy 15:672–675
Kendall NS, Hsu SYC, Chan K (1992) Fractures of the tibial spine in adults and children. J Bone Joint Surg Br 74:848–852
Keys GW, Walters J (1988) Non-union of intercondylar eminence fracture of the tibia. J Trauma 28:870–871
Kobayashi S, Terayama K (1994) Arthroscopic reduction and fixation of a completely displaced fracture of the intercondylar eminence of the tibia. Arthroscopy 10:231–235
Kogan MG, Marks P, Amendola A (1997) Technique for arthroscopic suture fixation of displaced tibial intercondylar eminence fractures. Arthroscopy 13:301–306
Lubownitz JH, Grauer JD (1993) Arthroscopic treatment of anterior cruciate ligament avulsion. Clin Orthop 294:242–246
Matthews DE, Geissler WB (1994) Arthroscopic suture fixation of displaced tibial eminence fractures. Arthroscopy 10:418–423
McLennan JC (1982) The role of arthroscopic surgery in the treatment of fractures of the intercondylar eminence of the tibia. J Bone Joint Surg Br 64:477–480
Medler RG, Jansson KA (1994) Arthroscopic treatment of fractures of the tibial spine. Arthroscopy 10:292–295
Meyers MH, McKeever FM (1959) Fractures of the intercondylar eminence of the tibia. J Bone Joint Surg Am 41:209–222
Meyers MH, McKeever FM (1970) Fractures of the intercondylar eminence of the tibia. J Bone Joint Surg Am 52:1677–1684
Noyes FR, DeLucas JL, Torvik PJ (1974) Biomechanics of anterior cruciate ligament failure; an analysis of strain-rate sensitivity and mechanisms of failure in primates. J Bone Joint Surg Am 56:236–253
Pellacci F, Mignani G, Valdiserri L (1986) Fractures of the intercondylar eminence of the tibia in children. Ital J Orthop Traumatol 12:441–446
Osti L, Merlo F, Bocchi L (1997) Our experience in the arthroscopic treatment of fracture-avulsion of the tibial spine. Chir Organi Mov 82:295–299
Van Loon T, Marti RK (1991) A fracture of the intercondylar eminence of the tibia treated by arthroscopic fixation. Arthroscopy 7:385–388
Zaricznyj B (1977) Avulsion fracture of the tibial eminence of the tibia; treatment by open reduction and pinning. J Bone Joint Surg Am 59:1111–1114
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Delcogliano, A., Chiossi, S., Caporaso, A. et al. Tibial intercondylar eminence fractures in adults: arthroscopic treatment. Knee Surg Sports Traumatol Arthrosc 11, 255–259 (2003). https://doi.org/10.1007/s00167-003-0373-8
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DOI: https://doi.org/10.1007/s00167-003-0373-8