Arthroscopic Reduction of Bicruciate Tibial Avulsion Fractures: Lever Push Technique.

Arthrosc Tech

Advanced Orthopedics and Sports Medicine, San Francisco, California, U.S.A.

Published: September 2022

AI Article Synopsis

  • Combined anterior and posterior cruciate ligament tibial avulsion fractures are unusual but serious knee injuries commonly found in adults that require quick surgical action for displaced cases.
  • Arthroscopic methods are the favored approach for treating these fractures, allowing surgeons to repair the injuries minimally invasively compared to traditional open surgery.
  • The discussed technique involves using an arthroscopic lever push method to effectively reposition the fractures, utilizing sutures and bone tunnels for stabilization, ensuring a straightforward and efficient recovery.

Article Abstract

Combined anterior cruciate ligament and posterior cruciate ligament tibial avulsion fractures are rare knee injuries that are primarily seen in adults. Prompt surgical intervention is indicated for displaced fractures to restore knee stability. Arthroscopic techniques are now the preferred method for treating anterior tibial spine avulsion fractures with posterior cruciate ligament tibial avulsion fractures being treated arthroscopically or with open reduction and internal fixation methods. This Technical Note and accompanying video demonstrate an arthroscopically assisted repair of bicruciate tibial avulsion fractures using an arthroscopic lever push technique. Two sutures are passed through the anterior cruciate ligament and pulled down through two bone tunnels placed within the tibial fracture bed, and one suture is passed around the posterior cruciate ligament and pulled down through one bone tunnel passing from the anterior tibia to the tibial fracture bed. Our technique is simple and effective in reducing bicruciate tibial avulsion fractures to anatomic position.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9519939PMC
http://dx.doi.org/10.1016/j.eats.2022.04.008DOI Listing

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