Arthroscopic Repair in Tibial Spine Avulsion Fractures Using Polyethylene Terephthalate Suture: Good to Excellent Results in Pediatric Patients.

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Abstract

Conflict of interest statement: The authors declare no conflict of interest. 19. Arthrosc Tech. 2019 Nov 9;8(12):e1473-e1477. doi: 10.1016/j.eats.2019.07.030. eCollection 2019 Dec. Double-Row Fixation for Avulsion of Anterior Cruciate Ligament. Elqirem Z(1), Alhanbali M(1), Sbieh Y(1). Author information: (1)Department of Orthopaedic Surgery, Specialty Hospital, Amman, Jordan. Avulsion fractures of the tibial spine (also called "tibial eminence fractures" or "ACL avulsion fractures"), leading to discontinuity of anterior cruciate ligament (ACL) fibers, have been well described in the literature in both the pediatric and adult populations. To ensure the stability of the knee joint and good range of motion with minimal to no laxity, surgical reduction of the fracture and fixation are necessary to restore ACL length. Several arthroscopic techniques have been described to reduce and fix these fractures. We describe a technique using 2 anchors to fix the fractured tibial spine with no need to make any tibial tunnels or any extra leg wounds for the sutures. © 2019 by the Arthroscopy Association of North America. Published by Elsevier. DOI: 10.1016/j.eats.2019.07.030 PMCID: PMC6928369