Clinical outcome of tibial spine ACL avulsion fracture in adults treated with suture bridge fixation
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2018, Vol 4, Issue 2
Abstract
Introduction Anterior cruciate ligament avulsion from the tibia with a bony fragment of the tibial spine is an uncommon injury of the knee joint These are predominantly seen in children and young adults Arthroscopic reduction and fixation of the tibial avulsion fracture is a technically demanding procedure as restoring the ACL length and tension during fixation is important to ensure stability of the knee while maintaining range of motion and minimal knee laxity The purpose of the study was to evaluate the outcome of Arthroscopic Suture bridge fixation of tibial spine anterior cruciate ligament avulsion fracturesMaterials and Methods We followed up seven patients prospectively after Arthroscopic suture bridge fixation The patients were assessed with clinical examination Tegner Lysholm and IKDC International Knee Documentation Committee knee scores The study group consisted of 5 males and 2 females with a mean age of 2428 years Range 18 years to 32 years Mean followup time was 287 months range 24 to 36 months The study included 4 type II and 3 type III Meyer and McKeever fracturesResults At followup the mean Tegner lysholm score was 9128 The best results were seen in younger patients Younger patients had significantly better score for IKDC functional and final scoresConclusion Displaced tibial spine avulsion fractures can be successfully treated in younger and older patients using arthroscopic suture bridge fixation with most patients returning back to preinjury levels of activity Keywords Arthroscopy Tibial fractures Avulsion Anterior cruciate ligament injuries Fracture fixation internal
Authors and Affiliations
Sujit Jos, Rajeev Anand, Joe Paul Elenjickal
Keywords
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- EP ID EP476589
- DOI 10.18231/2395-1362.2018.0022
- Views 84
- Downloads 0
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