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Arthroscopic Fixation of Tibial Spine Avulsion in Skeletally Immature: The Technique
INTRODUCTION: Tibial spine avulsion fracture is more frequent in children than adults. Various methods of fixation have been mentioned, but concern remains about crossing the tibial physis. We present a technique of arthroscopic fixation with non-absorbable suture. CASE REPORT: A total of 10 skeleta...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Indian Orthopaedic Research Group
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5868892/ https://www.ncbi.nlm.nih.gov/pubmed/29600218 http://dx.doi.org/10.13107/jocr.2250-0685.960 |
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author | Sinha, Skand Meena, Durgashankar Naik, Ananta K Selvamari, M Arya, Rajendra K |
author_facet | Sinha, Skand Meena, Durgashankar Naik, Ananta K Selvamari, M Arya, Rajendra K |
author_sort | Sinha, Skand |
collection | PubMed |
description | INTRODUCTION: Tibial spine avulsion fracture is more frequent in children than adults. Various methods of fixation have been mentioned, but concern remains about crossing the tibial physis. We present a technique of arthroscopic fixation with non-absorbable suture. CASE REPORT: A total of 10 skeletally immature patients with tibial spine avulsion of Meyers and McKeever Type 2 and 3 were included in the study. The knee was arthroscopically cleared of hematoma. The avulsed tibial insertion of anterior cruciate ligament was reduced and held in place with tibial guide. By drilling guide wire through the tibia, reduced fragment, a fiber wire was passed. The avulsed fragment was tied on a suture post on tibia. Outcome was evaluated radiologically and clinically (Lysholm score, pivot shift, and KT 1000) at 12 months after surgery. All cases attained full range of motion, stable knee and could return to previous level of activity. The mean pre-operative Lysholm score of 50.8 ± 1.4 (35-59) improved to 96.3 ± 2.9 (92-100). The mean pre-operative anterior translation of tibia (measured by KT 1000) of 7.6 ± 1.26 improved significantly to mean of 3.3 ± 0.82 mm after surgery. CONCLUSION: The presented technique of arthroscopic fixation of avulsed tibial spine is a simple technique that provides reproducible results. It also offers cost-effective secure fixation. |
format | Online Article Text |
id | pubmed-5868892 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Indian Orthopaedic Research Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-58688922018-03-29 Arthroscopic Fixation of Tibial Spine Avulsion in Skeletally Immature: The Technique Sinha, Skand Meena, Durgashankar Naik, Ananta K Selvamari, M Arya, Rajendra K J Orthop Case Rep Case Report INTRODUCTION: Tibial spine avulsion fracture is more frequent in children than adults. Various methods of fixation have been mentioned, but concern remains about crossing the tibial physis. We present a technique of arthroscopic fixation with non-absorbable suture. CASE REPORT: A total of 10 skeletally immature patients with tibial spine avulsion of Meyers and McKeever Type 2 and 3 were included in the study. The knee was arthroscopically cleared of hematoma. The avulsed tibial insertion of anterior cruciate ligament was reduced and held in place with tibial guide. By drilling guide wire through the tibia, reduced fragment, a fiber wire was passed. The avulsed fragment was tied on a suture post on tibia. Outcome was evaluated radiologically and clinically (Lysholm score, pivot shift, and KT 1000) at 12 months after surgery. All cases attained full range of motion, stable knee and could return to previous level of activity. The mean pre-operative Lysholm score of 50.8 ± 1.4 (35-59) improved to 96.3 ± 2.9 (92-100). The mean pre-operative anterior translation of tibia (measured by KT 1000) of 7.6 ± 1.26 improved significantly to mean of 3.3 ± 0.82 mm after surgery. CONCLUSION: The presented technique of arthroscopic fixation of avulsed tibial spine is a simple technique that provides reproducible results. It also offers cost-effective secure fixation. Indian Orthopaedic Research Group 2017 /pmc/articles/PMC5868892/ /pubmed/29600218 http://dx.doi.org/10.13107/jocr.2250-0685.960 Text en Copyright: © Indian Orthopaedic Research Group http://creativecommons.org/licenses/by-nc/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Sinha, Skand Meena, Durgashankar Naik, Ananta K Selvamari, M Arya, Rajendra K Arthroscopic Fixation of Tibial Spine Avulsion in Skeletally Immature: The Technique |
title | Arthroscopic Fixation of Tibial Spine Avulsion in Skeletally Immature: The Technique |
title_full | Arthroscopic Fixation of Tibial Spine Avulsion in Skeletally Immature: The Technique |
title_fullStr | Arthroscopic Fixation of Tibial Spine Avulsion in Skeletally Immature: The Technique |
title_full_unstemmed | Arthroscopic Fixation of Tibial Spine Avulsion in Skeletally Immature: The Technique |
title_short | Arthroscopic Fixation of Tibial Spine Avulsion in Skeletally Immature: The Technique |
title_sort | arthroscopic fixation of tibial spine avulsion in skeletally immature: the technique |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5868892/ https://www.ncbi.nlm.nih.gov/pubmed/29600218 http://dx.doi.org/10.13107/jocr.2250-0685.960 |
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