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VOL. 3, ISSUE 2 (2021)
Prospective study: Arthroscopic fixation of tibial spine avulsion fractures using suture pull through technique
Authors
Vaibhav Mittal, Sanjay Gupta, Mrigank Mathur
Abstract
Introduction: ACL avulsion fractures of the tibial insertion are often caused by traffic accidents and sports injuries. Various fixations techniques are available for fixation of tibial spine avulsion fracture. Our study includes patients treated with arthroscopic pull through suture technique used for tibial spine avulsion fractures. Objective: To study the radiological and functional outcome of arthroscopic pull through technique in displaced tibial spine avulsion fracture. Material and Method: Seventeen patients with displaced tibial spine avulsion fractures without other associated ligament injuries were included in the study. All underwent arthroscopic fixation using pull through suture technique. All patients were evaluated following the guidelines of the radiological union, the Lysholm knee scoring scale, and the International Knee Documentation Committee (IKDC). Results: Mean age of patients was 20.6 years. Mean follow up period was 13.5 months. Fractures were united within 3 months after surgery in all 17 patients. During the last follow-up, all the anterior drawer and Lachman tests were negative, except in 2 patient whose anterior drawer test was positive. The range of motion was 131°± 21° at the last follow-up. The mean Lysholm score was 91.9 (range 88 -100), mean IKDC score was 88.4 (range 85-96), 1 patient had Post-Operative knee stiffness (ROM 0-110°); Conclusion: Arthroscopic pull through suture technique is an easy-to-operate and effective method for the treatment of displaced avulsion fractures of tibial spine, with excellent anatomic reduction and good clinical results.
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Pages:10-12
How to cite this article:
Vaibhav Mittal, Sanjay Gupta, Mrigank Mathur "Prospective study: Arthroscopic fixation of tibial spine avulsion fractures using suture pull through technique ". International Journal of Orthopaedics Research, Vol 3, Issue 2, 2021, Pages 10-12
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