Loading...
Please wait, while we are loading the content...
Arthroscopic Single-Tunnel Pullout Suture Fixation for Tibial Eminence Avulsion Fracture
| Content Provider | Semantic Scholar |
|---|---|
| Author | Elsaid, Ahmed Nady Saleh Zein, Assem Mohamed Noureldin Elshafie, Mohamed Said, Nady Saleh El Mahmoud, Alaa Zenhom |
| Copyright Year | 2018 |
| Abstract | Various arthroscopic techniques have been devised for fixation of tibial eminence avulsions, namely percutaneous K-wires, arthroscopy-guided screw fixation, staples, TightRope (Arthrex)-suture button fixation, and transosseous suture fixation. Such techniques provide well-pronounced advantages including less postoperative pain, a reduced hospital stay, and minimal scar with resultant earlier and more compliant rehabilitation. As for transosseous suture fixation, the standard technique comprises the creation of 2 tibial tunnels exiting on both sides of the footprint of the avulsion fracture using an anterior cruciate ligament tibial guide with the angle set at 45°. Our technique entails the creation of a single tibial tunnel directed from the proximal anteromedial tibia to the center of the tibial eminence. The technique uses Ethibond suture (No. 5) and/or FiberWire suture (Arthrex) to fix the tibial eminence by pulling the anterior cruciate ligament fibers and tightening the pullout suture at the tibial exit of the tunnel with a 4-hole button. This modified single-tunnel pullout suture technique is an appealing option that has proved to be effective and economical with a shorter operative time. Moreover, it provides a less invasive option for skeletally immature patients. |
| Starting Page | e443 |
| Ending Page | e452 |
| Page Count | 10 |
| File Format | PDF HTM / HTML |
| DOI | 10.1016/j.eats.2017.11.004 |
| PubMed reference number | 29868417 |
| Journal | Medline |
| Volume Number | 7 |
| Alternate Webpage(s) | https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/95/fb/main.PMC5984281.pdf |
| Alternate Webpage(s) | https://doi.org/10.1016/j.eats.2017.11.004 |
| Journal | Arthroscopy techniques |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
