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