Combining pullout suture and retrograde screw fixation for anterior cruciate ligament tibial eminence avulsion fractures: A case report
This report describes a novel arthroscopic technique for the treatment of anterior cruciate ligament (ACL) tibial eminence avulsion fractures. A 16-year-old boy who was diagnosed with a left ACL tibial eminence avulsion fracture was treated by arthroscopic fixation. Two bone tunnels were created fro...
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Series: | Journal of Orthopaedic Surgery |
Online Access: | https://doi.org/10.1177/2309499020918681 |
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doaj-6462206719ca403789a0696795db6f2e2020-11-25T03:36:29ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902020-06-012810.1177/2309499020918681Combining pullout suture and retrograde screw fixation for anterior cruciate ligament tibial eminence avulsion fractures: A case reportTakaaki Hiranaka0Takayuki Furumatsu1Takaaki Tanaka2Yuki Okazaki3Yuya Kodama4Yusuke Kamatsuki5Kenji Masuda6Noritaka Seno7Toshifumi Ozaki8 Department of Orthopaedic Surgery, Okayama University Hospital, Okayama, Japan Department of Orthopaedic Surgery, Okayama University Hospital, Okayama, Japan Department of Orthopaedic Surgery, Sumitomo Besshi Hospital, Ehime, Japan Department of Orthopaedic Surgery, Okayama University Hospital, Okayama, Japan Department of Orthopaedic Surgery, Okayama University Hospital, Okayama, Japan Department of Orthopaedic Surgery, Okayama University Hospital, Okayama, Japan Department of Orthopaedic Surgery, Sumitomo Besshi Hospital, Ehime, Japan Department of Orthopaedic Surgery, Sumitomo Besshi Hospital, Ehime, Japan Department of Orthopaedic Surgery, Okayama University Hospital, Okayama, JapanThis report describes a novel arthroscopic technique for the treatment of anterior cruciate ligament (ACL) tibial eminence avulsion fractures. A 16-year-old boy who was diagnosed with a left ACL tibial eminence avulsion fracture was treated by arthroscopic fixation. Two bone tunnels were created from the anterior tibial cortex into the fracture bed, and a strong suture passed through the ACL just above its insertion was pulled out through them for reduction and fixation. A retrograde cannulated screw fixation was added for stronger fixation. Weight-bearing and range of motion exercises were started immediately after surgery. Radiographically, bone union was obtained 6 months postoperatively. During second-look arthroscopy (24 months postoperatively), there was no loss of reduction and no subsequent meniscal or cartilage injuries. At that point, the Lysholm score was 95, and the International Knee Documentation Committee score was 96.https://doi.org/10.1177/2309499020918681 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Takaaki Hiranaka Takayuki Furumatsu Takaaki Tanaka Yuki Okazaki Yuya Kodama Yusuke Kamatsuki Kenji Masuda Noritaka Seno Toshifumi Ozaki |
spellingShingle |
Takaaki Hiranaka Takayuki Furumatsu Takaaki Tanaka Yuki Okazaki Yuya Kodama Yusuke Kamatsuki Kenji Masuda Noritaka Seno Toshifumi Ozaki Combining pullout suture and retrograde screw fixation for anterior cruciate ligament tibial eminence avulsion fractures: A case report Journal of Orthopaedic Surgery |
author_facet |
Takaaki Hiranaka Takayuki Furumatsu Takaaki Tanaka Yuki Okazaki Yuya Kodama Yusuke Kamatsuki Kenji Masuda Noritaka Seno Toshifumi Ozaki |
author_sort |
Takaaki Hiranaka |
title |
Combining pullout suture and retrograde screw fixation for anterior cruciate ligament tibial eminence avulsion fractures: A case report |
title_short |
Combining pullout suture and retrograde screw fixation for anterior cruciate ligament tibial eminence avulsion fractures: A case report |
title_full |
Combining pullout suture and retrograde screw fixation for anterior cruciate ligament tibial eminence avulsion fractures: A case report |
title_fullStr |
Combining pullout suture and retrograde screw fixation for anterior cruciate ligament tibial eminence avulsion fractures: A case report |
title_full_unstemmed |
Combining pullout suture and retrograde screw fixation for anterior cruciate ligament tibial eminence avulsion fractures: A case report |
title_sort |
combining pullout suture and retrograde screw fixation for anterior cruciate ligament tibial eminence avulsion fractures: a case report |
publisher |
SAGE Publishing |
series |
Journal of Orthopaedic Surgery |
issn |
2309-4990 |
publishDate |
2020-06-01 |
description |
This report describes a novel arthroscopic technique for the treatment of anterior cruciate ligament (ACL) tibial eminence avulsion fractures. A 16-year-old boy who was diagnosed with a left ACL tibial eminence avulsion fracture was treated by arthroscopic fixation. Two bone tunnels were created from the anterior tibial cortex into the fracture bed, and a strong suture passed through the ACL just above its insertion was pulled out through them for reduction and fixation. A retrograde cannulated screw fixation was added for stronger fixation. Weight-bearing and range of motion exercises were started immediately after surgery. Radiographically, bone union was obtained 6 months postoperatively. During second-look arthroscopy (24 months postoperatively), there was no loss of reduction and no subsequent meniscal or cartilage injuries. At that point, the Lysholm score was 95, and the International Knee Documentation Committee score was 96. |
url |
https://doi.org/10.1177/2309499020918681 |
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