ID 59953
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Author
Hiranaka, Takaaki Department of Orthopaedic Surgery, Okayama University Hospital
Furumatsu, Takayuki Department of Orthopaedic Surgery, Okayama University Hospital Kaken ID publons
Tanaka, Takaaki Department of Orthopaedic Surgery, Sumitomo Besshi Hospital
Okazaki, Yuki Department of Orthopaedic Surgery, Okayama University Hospital
Kodama, Yuya Department of Orthopaedic Surgery, Okayama University Hospital
Kamatsuki, Yusuke Department of Orthopaedic Surgery, Okayama University Hospital
Masuda, Kenji Department of Orthopaedic Surgery, Sumitomo Besshi Hospital
Seno, Noritaka Department of Orthopaedic Surgery, Sumitomo Besshi Hospital
Ozaki, Toshifumi Department of Orthopaedic Surgery, Okayama University Hospital Kaken ID publons researchmap
Abstract
This report describes a novel arthroscopic technique for the treatment of anterior cruciate ligament (ACL) tibial eminence avulsion fractures. A 16-year-old boy who was diagnosed with a left ACL tibial eminence avulsion fracture was treated by arthroscopic fixation. Two bone tunnels were created from the anterior tibial cortex into the fracture bed, and a strong suture passed through the ACL just above its insertion was pulled out through them for reduction and fixation. A retrograde cannulated screw fixation was added for stronger fixation. Weight-bearing and range of motion exercises were started immediately after surgery. Radiographically, bone union was obtained 6 months postoperatively. During second-look arthroscopy (24 months postoperatively), there was no loss of reduction and no subsequent meniscal or cartilage injuries. At that point, the Lysholm score was 95, and the International Knee Documentation Committee score was 96.
Keywords
anterior cruciate ligament
knee
pullout suture
screw fixation
tibial eminence avulsion fracture
Published Date
2020-06-03
Publication Title
Journal of Orthopaedic Surgery
Volume
volume28
Issue
issue2
Publisher
SAGE Publications
Start Page
2309499020918681
ISSN
2309-4990
NCID
AA11004541
Content Type
Journal Article
language
英語
OAI-PMH Set
岡山大学
Copyright Holders
© The Author(s) 2020
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PubMed ID
DOI
Web of Science KeyUT
Related Url
isVersionOf https://doi.org/10.1177/2309499020918681
License
https://creativecommons.org/licenses/by-nc/4.0/