Cargando…

Arthroscopic Single-Tunnel Pullout Suture Fixation for Tibial Eminence Avulsion Fracture

Various arthroscopic techniques have been devised for fixation of tibial eminence avulsions, namely percutaneous K-wires, arthroscopy-guided screw fixation, staples, TightRope (Arthrex)–suture button fixation, and transosseous suture fixation. Such techniques provide well-pronounced advantages inclu...

Descripción completa

Detalles Bibliográficos
Autores principales: Elsaid, Ahmed Nady Saleh, Zein, Assem Mohamed Noureldin, ElShafie, Mohamed, El Said, Nady Saleh, Mahmoud, Alaa Zenhom
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5984281/
https://www.ncbi.nlm.nih.gov/pubmed/29868417
http://dx.doi.org/10.1016/j.eats.2017.11.004
_version_ 1783328580029120512
author Elsaid, Ahmed Nady Saleh
Zein, Assem Mohamed Noureldin
ElShafie, Mohamed
El Said, Nady Saleh
Mahmoud, Alaa Zenhom
author_facet Elsaid, Ahmed Nady Saleh
Zein, Assem Mohamed Noureldin
ElShafie, Mohamed
El Said, Nady Saleh
Mahmoud, Alaa Zenhom
author_sort Elsaid, Ahmed Nady Saleh
collection PubMed
description Various arthroscopic techniques have been devised for fixation of tibial eminence avulsions, namely percutaneous K-wires, arthroscopy-guided screw fixation, staples, TightRope (Arthrex)–suture button fixation, and transosseous suture fixation. Such techniques provide well-pronounced advantages including less postoperative pain, a reduced hospital stay, and minimal scar with resultant earlier and more compliant rehabilitation. As for transosseous suture fixation, the standard technique comprises the creation of 2 tibial tunnels exiting on both sides of the footprint of the avulsion fracture using an anterior cruciate ligament tibial guide with the angle set at 45°. Our technique entails the creation of a single tibial tunnel directed from the proximal anteromedial tibia to the center of the tibial eminence. The technique uses Ethibond suture (No. 5) and/or FiberWire suture (Arthrex) to fix the tibial eminence by pulling the anterior cruciate ligament fibers and tightening the pullout suture at the tibial exit of the tunnel with a 4-hole button. This modified single-tunnel pullout suture technique is an appealing option that has proved to be effective and economical with a shorter operative time. Moreover, it provides a less invasive option for skeletally immature patients.
format Online
Article
Text
id pubmed-5984281
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-59842812018-06-04 Arthroscopic Single-Tunnel Pullout Suture Fixation for Tibial Eminence Avulsion Fracture Elsaid, Ahmed Nady Saleh Zein, Assem Mohamed Noureldin ElShafie, Mohamed El Said, Nady Saleh Mahmoud, Alaa Zenhom Arthrosc Tech Technical Note Various arthroscopic techniques have been devised for fixation of tibial eminence avulsions, namely percutaneous K-wires, arthroscopy-guided screw fixation, staples, TightRope (Arthrex)–suture button fixation, and transosseous suture fixation. Such techniques provide well-pronounced advantages including less postoperative pain, a reduced hospital stay, and minimal scar with resultant earlier and more compliant rehabilitation. As for transosseous suture fixation, the standard technique comprises the creation of 2 tibial tunnels exiting on both sides of the footprint of the avulsion fracture using an anterior cruciate ligament tibial guide with the angle set at 45°. Our technique entails the creation of a single tibial tunnel directed from the proximal anteromedial tibia to the center of the tibial eminence. The technique uses Ethibond suture (No. 5) and/or FiberWire suture (Arthrex) to fix the tibial eminence by pulling the anterior cruciate ligament fibers and tightening the pullout suture at the tibial exit of the tunnel with a 4-hole button. This modified single-tunnel pullout suture technique is an appealing option that has proved to be effective and economical with a shorter operative time. Moreover, it provides a less invasive option for skeletally immature patients. Elsevier 2018-04-02 /pmc/articles/PMC5984281/ /pubmed/29868417 http://dx.doi.org/10.1016/j.eats.2017.11.004 Text en © 2018 by the Arthroscopy Association of North America. Published by Elsevier. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Technical Note
Elsaid, Ahmed Nady Saleh
Zein, Assem Mohamed Noureldin
ElShafie, Mohamed
El Said, Nady Saleh
Mahmoud, Alaa Zenhom
Arthroscopic Single-Tunnel Pullout Suture Fixation for Tibial Eminence Avulsion Fracture
title Arthroscopic Single-Tunnel Pullout Suture Fixation for Tibial Eminence Avulsion Fracture
title_full Arthroscopic Single-Tunnel Pullout Suture Fixation for Tibial Eminence Avulsion Fracture
title_fullStr Arthroscopic Single-Tunnel Pullout Suture Fixation for Tibial Eminence Avulsion Fracture
title_full_unstemmed Arthroscopic Single-Tunnel Pullout Suture Fixation for Tibial Eminence Avulsion Fracture
title_short Arthroscopic Single-Tunnel Pullout Suture Fixation for Tibial Eminence Avulsion Fracture
title_sort arthroscopic single-tunnel pullout suture fixation for tibial eminence avulsion fracture
topic Technical Note
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5984281/
https://www.ncbi.nlm.nih.gov/pubmed/29868417
http://dx.doi.org/10.1016/j.eats.2017.11.004
work_keys_str_mv AT elsaidahmednadysaleh arthroscopicsingletunnelpulloutsuturefixationfortibialeminenceavulsionfracture
AT zeinassemmohamednoureldin arthroscopicsingletunnelpulloutsuturefixationfortibialeminenceavulsionfracture
AT elshafiemohamed arthroscopicsingletunnelpulloutsuturefixationfortibialeminenceavulsionfracture
AT elsaidnadysaleh arthroscopicsingletunnelpulloutsuturefixationfortibialeminenceavulsionfracture
AT mahmoudalaazenhom arthroscopicsingletunnelpulloutsuturefixationfortibialeminenceavulsionfracture