ArticleJournal of orthopaedic surgery and research2024
The modified suture-bridge technique for treating avulsion fracture of minors tibial eminence of anterior cruciate ligament: a retrospective study.
Article in Journal of orthopaedic surgery and research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Management of type II tibial spine fractures in children and adolescents: a systematic review.Journal of orthopaedic surgery and research · 2026Pooled it
- Arthro-Cross Compression Technique for Anterior Cruciate Ligament Avulsion Fracture Fixation.Arthroscopy techniques · 2026Article
- Higher Preoperative Magnetic Resonance Imaging Use in Asia-Pacific Compared With North America for Pediatric Tibial Eminence Fractures: A Systematic Review.Arthroscopy, sports medicine, and rehabilitation · 2026Review
- Fixation Treatment of Anterior Cruciate Ligament Avulsion Fracture via Suture-Bridge Technique Through Transtibial Tunnels.Arthroscopy techniques · 2026Article
- Good functional outcomes and radiological union following arthroscopic knotless anchor fixation of tibial spine avulsion fractures: A prospective clinical study.Journal of experimental orthopaedics · 2026Article
- Arthroscopic Anterior Cruciate Ligament Tibial Eminence Avulsion Fracture Repair With Reversed Suture Anchor.Arthroscopy techniques · 2025Article
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Authors and funding
9 authors.
Funding
Abstract
purposeThis study aimed to evaluate the clinical and radiological outcomes of modified suture-bridge technique fixation for anterior cruciate ligament (ACL) tibial avulsion fracture.
methodMinors who underwent arthroscopic reduction and modified suture bridge fixation of ACL tibial avulsion fracture between January 2018 and January 2022 were retrospectively analyzed. Postoperative MRI and X-ray examinations were performed to evaluate the presence of epiphyseal plate injury and fracture healing. Moreover, KT-1000 side-to-side difference, Lachman test, range of motion (ROM), the subjective Knee score of the International Knee Documentation Committee (IKDC), Lysholm Knee score, and Tegner activity grade score were evaluated preoperatively and at the minimum 1-year follow-up visit.
resultsA total of 16 participants met the inclusion criteria. They had a mean age of 12.6 years (range, 9-16 years); mean time to surgery, 6.9 days (range, 2-13 days) and had a minimum of 12 months clinical follow-up (mean, 25.4 months; range, 12-36 months) after surgery. Postoperative radiographs and MRI showed no injury to the epiphyseal plate, optimal reduction immediately after the operation, and bone union within three months in all patients. All of the following showed significant improvements (pre- vs. postoperatively): mean KT-1000 side-to-side difference (8.6 vs. 1.5; p < 0.05), Lachman tests (2 grade 9 and 3 grade 7 vs. 0 grade 12 and 1 grade 4; p < 0.05), IKDC subjective score (48.3 vs. 95.0; p < 0.05), mean Lysholm score (53.9 vs. 92.2; p < 0.05), mean Tegner activity score (3.2 vs. 8.3; p < 0.05) and mean ROM (42.9°vs 133.1°; p < 0.05).
conclusionArthroscopic reduction and modified suture bridge fixation for ACL tibial avulsion fracture is a dependable and recommended treatment that can effectively restore the stability and function of the knee and is worthy of clinical promotion.
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