Arthroscopic Repair of Tibial Spine Avulsion Fracture
Year: 2024
Type: article
Study design: Clinical Trial
Abstract: Background: Tibial spine fractures are additionally called tibial eminence fractures or ACL avulsion fractures. They are a form of anterior cruciate ligament injury.Aim: This study aimed to evaluate arthroscopic repair of avulsed tibial spine fractures using the pull-through suture method tied over a bone bridge or endobutton, focusing on union, functional outcomes, and complications.Patients and methods: This was a prospective study conducted on 25 patients to investigate the functional outcome of arthroscopic repair of avulsed tibial spines from October 2017 till October 2020 at Beni Suef University Hospital.Results: At 6 months postoperatively, 68% had no pain, while 4% had marked pain walking >2 km, 4% with severe exertion, 4% on giving way, and 20% with mild pain. Preoperatively, 92% couldn’t climb stairs; at 6 months, 76% climbed without issues. Instability improved: 92% had none, 4% rare, and 4% frequent. Lysholm scores rose significantly: preoperatively (11.86±3.55), 6 weeks (55.57±13.37), 3 months (85.68±15.50), and 6 months (93.54±7.84), with significant P-values. Functional recovery was substantial.Conclusion: Arthroscopic reinsertion of avulsed tibial spine fractures using pull-out sutures tied over the tibial cortex with Ethibond No. 5 or Fiberwire 2 provides strong fixation, enabling early mobilization and excellent clinical outcomes, including significant Lysholm score improvements. This technique reduces morbidity, facilitates debridement, and ensures stable fixation without implant removal. While most patients achieve a full range of motion, one case of notable laxity may require ACL reconstruction, underscoring the importance of individualized follow-up.
Source: Nanotechnology Perceptions
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7217166552