Preliminary treatment results of arthroscopic suture fixation for anterior cruciate ligament tibial avulsion: Two-tunnels fixation

  • Do Duc Trung 108 Military Central Hospital
  • Nguyen Quoc Dung 108 Military Central Hospital
  • Phung Van Tuan 108 Military Central Hospital
  • Tran Ngoc Thanh 108 Military Central Hospital
  • Nguyen Tien Thanh 108 Military Central Hospital

Main Article Content

Keywords

ACL tibial avulsion, two-tunnels fixation

Abstract

Summary


Objective: To evaluate the preliminary treatment results of arthroscopic suture fixation for anterior cruciate ligament (ACL) tibial avulsion: Two-tunnels fixation. Subject and method: Nineteen patients with ACL tibial avulsion (types III, IV), a mean age of 33.8 years (range, 22 to 46 years) were prospectively followed up after arthroscopic suture fixation for anterior cruciate ligament tibial avulsion: Three-tunnels fixation. Along with clinical examination, radiographs, Lysholm score was used to evaluate the patients. Anteroposterior knee laxity was measured with a KT-1000 and range of motion was measured with a goniometer. Result: Patients were followed up for a mean of 4.46 months (range, 2 to 7 months). No Lysholm score was obtained and no range-of-motion measurements were performed preoperatively because all injuries were acute. The mean Lysholm score was 92.6 (range, 82 to 100). Anterior translation of the tibia, measured with the KT- 1000, was 1.57mm on average (range, 0 to 4mm) compared with the healthy side. Postoperatively, the mean flexion deficit was 5.7ᵒ (range, 0ᵒ to 20ᵒ) compared with the unaffected side. No patient had extension deficit. Conclusion: Preliminary treatment results of arthroscopic suture fixation for ACL tibial avulsion: Two-tunnels fixation demonstrated satisfactory results. It is necessary to follow-up and assess in a longer time.              


Keywords: ACL tibial avulsion, two-tunnels fixation.


 

Article Details

References

1. Ahn JH, Yoo JC (2005) Clinical outcome of arthroscopic reduction and suture for displaced acute and chronic tibial spine fractures. Knee Surg Sports Traumatol Arthroscopy (13): 116-121.
2. Huang TW (2008) Arthroscopic suture fixation of tibial eminence avulsion fractures. The Arthroscopy Association of North America (24): 1232-1238.
3. Hwang JP (2007) Arthroscopic evaluation after surgical repair of intercondylar eminence fractures. Archives of orthopaedic and trauma surgery (9): 753-757.
4. Jang KM (2013) Novel arthroscopic fixation method for anterior cruciate ligament tibial avulsion fracture with accompanying detachment of the anterior horn of the lateral meniscus: Three-point suture fixation. Injury (44): 1028-1032.
5. Lysholm J, Gillquist J (1982) Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale. Am J Sports Med (10): 150-154.
6. Poncet A (1985) Arrachement de l’epine du tibia a l’insertion du ligament croise anterieur. Bull Mem Soc Chir Paris (1): 883-884.
7. Vikram S (2015) Functional outcome in tibial spine fracture treated with arthroscopic pull through suture technique. Journal of Orthopedics. Traumatology and Rehabilitation (1): 6-10.
8. Yanhao Y (2015) Treatment of tibial eminence fractures with arthroscopic suture fixation technique: A retrospective study. Int J Clin Exp Med (8): 13797-13803.