Introduction: tibial spine avulsion fractures, also known as intercondylar eminence fractures, are uncommon knee injuries that predominantly affect in children and young adults. Material and methods: a 22-year-old-male no relevant medical history went to the emergency department after sports injury, in the performed X-ray was identified a displaced type III tibial eminence fracture. The tibial spine avulsion is identified and inspected. An incision is made medial and distal to the tibial tubercle, an ACL guide is inserted anteromedially and an 18 mm Kirshner wire is placed closed to the stump of the ACL with its end curved intraarticularly. The bone fragment is then pulled with gentle traction and a near anatomic reduction is verified on fluoroscopy. Results: the score function of Lysholm at decasting at last follow-up was 98. Radiographs were obtained at 1, 3, and 6 months postoperatively. At final follow-up, the Lachman test was used to evaluate the stability of the knee. Patient did not show any signs of laxity and returned to his preinjury activity level 8 months after surgery. Conclusion: the treatment of the displaced fractures requires surgical reduction and fixation in order to achieve adequate tension in the anterior cruciate ligament and to reduce the risk of laxity. The aim of our study is to evaluate the clinical and radiological results of the arthroscopically assisted pinning of ACL avulsion fractures and to show that it is a very simple and effective technique.
| Published in | International Journal of Medical Imaging (Volume 10, Issue 4) |
| DOI | 10.11648/j.ijmi.20221004.12 |
| Page(s) | 49-52 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Knee, Anterior Cruciate Ligament, Fracture, Avulsion, Arthroscopy, Fixation
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APA Style
Kamal Lahrach, Saeed Abdulrazak, Soumare Boubacar, Fawzi Boutayeb. (2022). Arthroscopy-Assisted Pinning of Tibial Spine Avulsion Fracture: A Simple Technique. International Journal of Medical Imaging, 10(4), 49-52. https://doi.org/10.11648/j.ijmi.20221004.12
ACS Style
Kamal Lahrach; Saeed Abdulrazak; Soumare Boubacar; Fawzi Boutayeb. Arthroscopy-Assisted Pinning of Tibial Spine Avulsion Fracture: A Simple Technique. Int. J. Med. Imaging 2022, 10(4), 49-52. doi: 10.11648/j.ijmi.20221004.12
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Download@article{10.11648/j.ijmi.20221004.12,
author = {Kamal Lahrach and Saeed Abdulrazak and Soumare Boubacar and Fawzi Boutayeb},
title = {Arthroscopy-Assisted Pinning of Tibial Spine Avulsion Fracture: A Simple Technique},
journal = {International Journal of Medical Imaging},
volume = {10},
number = {4},
pages = {49-52},
doi = {10.11648/j.ijmi.20221004.12},
url = {https://doi.org/10.11648/j.ijmi.20221004.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20221004.12},
abstract = {Introduction: tibial spine avulsion fractures, also known as intercondylar eminence fractures, are uncommon knee injuries that predominantly affect in children and young adults. Material and methods: a 22-year-old-male no relevant medical history went to the emergency department after sports injury, in the performed X-ray was identified a displaced type III tibial eminence fracture. The tibial spine avulsion is identified and inspected. An incision is made medial and distal to the tibial tubercle, an ACL guide is inserted anteromedially and an 18 mm Kirshner wire is placed closed to the stump of the ACL with its end curved intraarticularly. The bone fragment is then pulled with gentle traction and a near anatomic reduction is verified on fluoroscopy. Results: the score function of Lysholm at decasting at last follow-up was 98. Radiographs were obtained at 1, 3, and 6 months postoperatively. At final follow-up, the Lachman test was used to evaluate the stability of the knee. Patient did not show any signs of laxity and returned to his preinjury activity level 8 months after surgery. Conclusion: the treatment of the displaced fractures requires surgical reduction and fixation in order to achieve adequate tension in the anterior cruciate ligament and to reduce the risk of laxity. The aim of our study is to evaluate the clinical and radiological results of the arthroscopically assisted pinning of ACL avulsion fractures and to show that it is a very simple and effective technique.},
year = {2022}
}
TY - JOUR T1 - Arthroscopy-Assisted Pinning of Tibial Spine Avulsion Fracture: A Simple Technique AU - Kamal Lahrach AU - Saeed Abdulrazak AU - Soumare Boubacar AU - Fawzi Boutayeb Y1 - 2022/10/29 PY - 2022 N1 - https://doi.org/10.11648/j.ijmi.20221004.12 DO - 10.11648/j.ijmi.20221004.12 T2 - International Journal of Medical Imaging JF - International Journal of Medical Imaging JO - International Journal of Medical Imaging SP - 49 EP - 52 PB - Science Publishing Group SN - 2330-832X UR - https://doi.org/10.11648/j.ijmi.20221004.12 AB - Introduction: tibial spine avulsion fractures, also known as intercondylar eminence fractures, are uncommon knee injuries that predominantly affect in children and young adults. Material and methods: a 22-year-old-male no relevant medical history went to the emergency department after sports injury, in the performed X-ray was identified a displaced type III tibial eminence fracture. The tibial spine avulsion is identified and inspected. An incision is made medial and distal to the tibial tubercle, an ACL guide is inserted anteromedially and an 18 mm Kirshner wire is placed closed to the stump of the ACL with its end curved intraarticularly. The bone fragment is then pulled with gentle traction and a near anatomic reduction is verified on fluoroscopy. Results: the score function of Lysholm at decasting at last follow-up was 98. Radiographs were obtained at 1, 3, and 6 months postoperatively. At final follow-up, the Lachman test was used to evaluate the stability of the knee. Patient did not show any signs of laxity and returned to his preinjury activity level 8 months after surgery. Conclusion: the treatment of the displaced fractures requires surgical reduction and fixation in order to achieve adequate tension in the anterior cruciate ligament and to reduce the risk of laxity. The aim of our study is to evaluate the clinical and radiological results of the arthroscopically assisted pinning of ACL avulsion fractures and to show that it is a very simple and effective technique. VL - 10 IS - 4 ER -
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