Ultrabraid SUTURE WITH FOOTPRINT RIVET FOR ANTERIOR CRUCIATE LIGAMENT TIBIAL EMINENCE AVULSION FRACTURE IN ADOLESCENTS UNDER ARTHROSCOPY_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

LIANGJinying ^1,2 ,  ZHENGJiapeng ¹ , LIQiang ¹ , ZHONGShuyu ² , CHENMinzhen ²

1. Army Traumatic Orthopaedic Center, the 175th Hospital of Chinese PLA, Zhangzhou Fujian, 363000, P. R. China;
2. Institute of Orthopedics, Fuijian University of Traditional Chinese Medicine;

Corresponding?author：

ZHENGJiapeng, Email: zhjiapeng@126.com

Keywords：

Anterior cruciate ligament; Avulsion fracture; Arthroscopy; Ultrabraid suture; FOOTPRINT rivet; Adolescents

DOI：

10.7507/1002-1892.20150155

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Objective To investigate the clinical effects of the Ultrabraid suture with FOOTPRINT rivet by arthroscopic technique for the treatment of anterior cruciate ligament (ACL) tibial eminence avulsion fracture. Methods Between May 2011 and December 2013, 19 adolescent patients with ACL tibial eminence avulsion fracture were treated with arthroscopic reduction and fixation by Ultrabraid sutures with FOOTPRINT rivet. There were 13 males and 6 females with an average age of 15.8 years (range, 8-18 years). The left knees were involved in 10 cases and the right knees in 9 cases. The injury causes included traffic accident injury in 8 cases, sport injury in 6 cases, and sprain injury in 5 cases. Three patients had old fractures, and the others had fresh fractures. The results of Lachman test and anterior drawer test were both positive. The International Knee Documentation Committee (IKDC) subject score was 54.2±4.0. Based on Meyers-McKeever classification, there were 3 cases of type Ⅱ, 10 cases of type Ⅲ, and 6 cases of type IV. Results The operation time was 50-60 minutes (mean, 55.2 minutes). X-ray film showed satisfactory fracture reduction at 1 day after operation. Primary healing of incision was obtained with no infection. Eighteen patients were followed up for 1-3 years (mean, 1.7 years). All fractures healed with smooth joint surface on the X-ray film at 3 months after operation. The results of Lachman test and anterior drawer test were both negative in 17 cases, and the results was negative for anterior drawer test and was weakly positive for Lachman test in 1 case. The IKDC subject score was significantly improved to 96.1±2.1 at last follow-up (t=34.600, P=0.000). Conclusion It could achieve early restoration of knee joint function to treat the ACL tibial eminence avulsion fracture by arthroscopic technique of the Ultrabraid suture with FOOTPRINT rivet because of satisfactory reduction, reliable fixation, small wound, and early rehabilitation.

Citation： LIANGJinying, ZHENGJiapeng, LIQiang, ZHONGShuyu, CHENMinzhen. Ultrabraid SUTURE WITH FOOTPRINT RIVET FOR ANTERIOR CRUCIATE LIGAMENT TIBIAL EMINENCE AVULSION FRACTURE IN ADOLESCENTS UNDER ARTHROSCOPY. Chinese Journal of Reparative and Reconstructive Surgery, 2015, 29(6): 721-724. doi: 10.7507/1002-1892.20150155 Copy

1.	Tudisco C, Giovarruscio R, Febo A, et al. Intercondylar eminence avulsion fracture in children:long-term follow-up of 14 cases at the end of skeletal growth. J Pediatr Orthop B, 2010, 19(5):403-408.
2.	Leeberg V, Lekdorf J, Wong C, et al. Tibial eminentia avulsion fracture in children-a systematic review of the current literature. Dan Med J, 2014, 61(3):A4792.
3.	Irrgang JJ, Anderson AF, Boland AL, et al. Development and validation of the international knee documentation committee subjective knee form. Am J Sports Med, 2001, 29(5):600-613.
4.	Di Caprio F, Buda R, Ghermandi R, et al. Combined arthroscopic treatment of tibial plateau and intercondylar eminence avulsion fractures. J Bone Joint Surg (Am), 2010, 92 Suppl 2:161-169.
5.	劉玉杰, 王俊良, 齊瑋, 等. 不可吸收縫線領帶結套扎固定技術治療脛骨髁間隆突撕脫骨折. 中國修復重建外科雜志, 2011, 25(8):903-906.
6.	Sawyer GA, Hulstyn MJ, Anderson BC, et al. Arthroscopic suture bridge fixation of tibial intercondylar eminence fractures. Arthrosc Tech, 2013, 2(4):e315-318.
7.	Su WR, Wang PH, Wang HN, et al. A simple, modified arthroscopic suture fixation of avulsion fracture of the tibial intercondylar eminence in children. J Pediatr Orthop B, 2011, 20(1):17-21.
8.	Vaquero J, Vidal C, Cubillo A. Intra-articular traumatic disorders of the knee in children and adolescents. Clin Orthop Relat Res, 2005, (432):97-106.
9.	Ezechieli M, Sch?fer M, Becher C, et al. Biomechanical comparison of different fixation techniques for reconstruction of tibial avulsion fractures of the anterior cruciate ligament. Int Orthop, 2013, 37(5):919-923.
10.	Lu XW, Hu XP, Jin C, et al. Reduction and fixation of the avulsion fracture of the tibial eminence using mini-open technique. Knee Surg Sports Traumatol Arthrosc, 2010, 18(11):1476-1480.
11.	王琪, 李眾利, 劉玉杰, 等. 關節鏡下帶線可吸收雙錨釘治療脛骨髁間嵴撕脫骨折. 中國修復重建外科雜志, 2011, 25(2):220-224.
12.	郝亮, 廖琦, 謝黎峰, 等. 關節鏡下可吸收螺釘治療前交叉韌帶脛骨止點撕脫性骨折. 中國內鏡雜志, 2014, 20(7):719-722.
13.	孫和軍, 李棋, 唐新, 等. 小切口可吸收螺釘內固定治療前交叉韌帶脛骨止點撕脫骨折療效. 中國修復重建外科雜志, 2014, 28(9):1072-1076.
14.	Vivek P, Kiran A, Sharath R, et al. Arthroscopic tibial spine avulsion fixation:a simple technique. Techniques in Orthopaedics, 2013, 28(4):339-342.
15.	呂宏升, 林洪光, 鄭佳鵬, 等. 關節鏡下掌骨鋼板結合不可吸收縫線固定治療前交叉韌帶止點撕脫骨折. 中國骨與關節損傷雜志, 2014, 29(4):353-355.

1. Tudisco C, Giovarruscio R, Febo A, et al. Intercondylar eminence avulsion fracture in children:long-term follow-up of 14 cases at the end of skeletal growth. J Pediatr Orthop B, 2010, 19(5):403-408.
2. Leeberg V, Lekdorf J, Wong C, et al. Tibial eminentia avulsion fracture in children-a systematic review of the current literature. Dan Med J, 2014, 61(3):A4792.
3. Irrgang JJ, Anderson AF, Boland AL, et al. Development and validation of the international knee documentation committee subjective knee form. Am J Sports Med, 2001, 29(5):600-613.
4. Di Caprio F, Buda R, Ghermandi R, et al. Combined arthroscopic treatment of tibial plateau and intercondylar eminence avulsion fractures. J Bone Joint Surg (Am), 2010, 92 Suppl 2:161-169.
5. 劉玉杰, 王俊良, 齊瑋, 等. 不可吸收縫線領帶結套扎固定技術治療脛骨髁間隆突撕脫骨折. 中國修復重建外科雜志, 2011, 25(8):903-906.
6. Sawyer GA, Hulstyn MJ, Anderson BC, et al. Arthroscopic suture bridge fixation of tibial intercondylar eminence fractures. Arthrosc Tech, 2013, 2(4):e315-318.
7. Su WR, Wang PH, Wang HN, et al. A simple, modified arthroscopic suture fixation of avulsion fracture of the tibial intercondylar eminence in children. J Pediatr Orthop B, 2011, 20(1):17-21.
8. Vaquero J, Vidal C, Cubillo A. Intra-articular traumatic disorders of the knee in children and adolescents. Clin Orthop Relat Res, 2005, (432):97-106.
9. Ezechieli M, Sch?fer M, Becher C, et al. Biomechanical comparison of different fixation techniques for reconstruction of tibial avulsion fractures of the anterior cruciate ligament. Int Orthop, 2013, 37(5):919-923.
10. Lu XW, Hu XP, Jin C, et al. Reduction and fixation of the avulsion fracture of the tibial eminence using mini-open technique. Knee Surg Sports Traumatol Arthrosc, 2010, 18(11):1476-1480.
11. 王琪, 李眾利, 劉玉杰, 等. 關節鏡下帶線可吸收雙錨釘治療脛骨髁間嵴撕脫骨折. 中國修復重建外科雜志, 2011, 25(2):220-224.
12. 郝亮, 廖琦, 謝黎峰, 等. 關節鏡下可吸收螺釘治療前交叉韌帶脛骨止點撕脫性骨折. 中國內鏡雜志, 2014, 20(7):719-722.
13. 孫和軍, 李棋, 唐新, 等. 小切口可吸收螺釘內固定治療前交叉韌帶脛骨止點撕脫骨折療效. 中國修復重建外科雜志, 2014, 28(9):1072-1076.
14. Vivek P, Kiran A, Sharath R, et al. Arthroscopic tibial spine avulsion fixation:a simple technique. Techniques in Orthopaedics, 2013, 28(4):339-342.
15. 呂宏升, 林洪光, 鄭佳鵬, 等. 關節鏡下掌骨鋼板結合不可吸收縫線固定治療前交叉韌帶止點撕脫骨折. 中國骨與關節損傷雜志, 2014, 29(4):353-355.

Chinese Journal of Reparative and Reconstructive Surgery

Ultrabraid SUTURE WITH FOOTPRINT RIVET FOR ANTERIOR CRUCIATE LIGAMENT TIBIAL EMINENCE AVULSION FRACTURE IN ADOLESCENTS UNDER ARTHROSCOPY

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