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.	刘玉杰, 王俊良, 齐玮, 等. 不可吸收缝线领带结套扎固定技术治疗胫骨髁间隆突撕脱骨折. 中国修复重建外科杂志, 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, Schäfer 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, 李众利, 刘玉杰, 等. 关节镜下带线可吸收双锚钉治疗胫骨髁间嵴撕脱骨折. 中国修复重建外科杂志, 2011, 25(2):220-224.
12.	郝亮, 廖琦, 谢黎峰, 等. 关节镜下可吸收螺钉治疗前交叉韧带胫骨止点撕脱性骨折. 中国内镜杂志, 2014, 20(7):719-722.
13.	孙和军, 李棋, 唐新, 等. 小切口可吸收螺钉内固定治疗前交叉韧带胫骨止点撕脱骨折疗效. 中国修复重建外科杂志, 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.	吕宏升, 林洪光, 郑佳鹏, 等. 关节镜下掌骨钢板结合不可吸收缝线固定治疗前交叉韧带止点撕脱骨折. 中国骨与关节损伤杂志, 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. 刘玉杰, 王俊良, 齐玮, 等. 不可吸收缝线领带结套扎固定技术治疗胫骨髁间隆突撕脱骨折. 中国修复重建外科杂志, 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, Schäfer 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, 李众利, 刘玉杰, 等. 关节镜下带线可吸收双锚钉治疗胫骨髁间嵴撕脱骨折. 中国修复重建外科杂志, 2011, 25(2):220-224.
12. 郝亮, 廖琦, 谢黎峰, 等. 关节镜下可吸收螺钉治疗前交叉韧带胫骨止点撕脱性骨折. 中国内镜杂志, 2014, 20(7):719-722.
13. 孙和军, 李棋, 唐新, 等. 小切口可吸收螺钉内固定治疗前交叉韧带胫骨止点撕脱骨折疗效. 中国修复重建外科杂志, 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. 吕宏升, 林洪光, 郑佳鹏, 等. 关节镜下掌骨钢板结合不可吸收缝线固定治疗前交叉韧带止点撕脱骨折. 中国骨与关节损伤杂志, 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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