EVALUATION OUTCOME OF ARTHROSCOPIC TRANSOSSEOUS SUTURE FIXATION FOR ANTERIOR CRUCIATE LIGAMENT TIBIAL AVULSION FRACTURES AT 108 MILITARY CENTRAL HOSPITAL FROM 2018 TO 2024
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Abstract
Introduction: ACL tibial avulsion fracture is one of the most common knee injury. There are many classical procedures to be available for fixation ACL tibial avulsion fracture. Nowaday, arthroscopic suture fixation for ACL tibial avulsion fracture has many advantages and limits complications effecting knee joint.
Purpose: To evaluate long-term outcomes of arthroscopic transosseous suture fixation for anterior cruciate ligament tibial avulsion fracture.
Materials and methods: Fifty six patients with ACL tibial avulsion fracture (types II, III, IV), mean age of 32.6 years (range from 21 to 48 years) were prospectively followed up after arthroscopic transosseous suture fixation for anterior cruciate ligament tibial avulsion. Along with clinical examination, radiographs, Lysholm score, IKDC classification were used to evaluate the patients. Anteroposterior knee laxity was measured with a KT- 1000.
Result: Patients were followed up for a mean of 16.76 months (range, 12 to 22 months). At final follow-up, the mean Lysholm score was 91.3 (range, 83 to 100). 54 patients (96.4%) were classified by IKDC score as normal or nearly normal (grade A or B). The IKDC classification was abnormal (grade C) in 2 patients (3.6%). Anterior translation of the tibia, measured with the KT- 1000, was 1.57 mm on average (range, 0.5 to 6.5 mm) compared to the healthy side. All 56 fractures achieved union on radiography
Conclusion: Treating ACL avulsion fracture with transosseous arthroscopic suture fixation can stabilize fragments, promote early motion.
Keywords
ACL tibial avulsion, Transosseous suture fixation
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References
2. Dung T.T., Du H.G., Long N.H. (2019). Arthroscopic fixation of ACL avulsion fracture in the Saint Paul Hospital: a review of treatment outcomes. Eur J Orthop Surg Traumatol, 11(2), 876 - 879
3. Tuca M., Bernal N., Luderowski E. (2019). Tibial spine avulsion fractures: treatment update. Current Opinion in Pediatrics, 31(1), 103–111.
4. Adams A., Talathi N., Gandhi J. (2018). Tibial Spine Fractures in Children: Evaluation, Management, and Future Directions. J Knee Surg, 31(05), 374–381.
5. Aderinto J., Walmsley P., và Keating J.F. (2008). Fractures of the tibial spine: Epidemiology and outcome. The Knee, 15(3), 164–167.
6. Montgomery K.D., Cavanaugh J., Cohen S. (2002). Motion complications after arthroscopic repair of anterior cruciate ligament avulsion fractures in the adult. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 18(2), 171–176.
7. Koukoulias N.E., Germanou E., Lola D. (2012). Clinical Outcome of Arthroscopic Suture Fixation for Tibial Eminence Fractures in Adults. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 28(10), 1472–1480.
8. Callanan M., Allen J., Flutie B. (2019). Suture Versus Screw Fixation of Tibial Spine Fractures in Children and Adolescents: A Comparative Study. Orthop J Sports Med, 7(11), 105–108
9. Kuang S., Su C., Zhao X. (2020). “Figure-of-Eight” Suture-Button Technique for Fixation of Displaced Anterior Cruciate Ligament Avulsion Fracture. Orthopaedic Surgery, 12(3), 802–808.