Arthroscopic fixation of pediatric tibial eminence fractures using suture anchors: a mid-term follow-up

• Published in: Archives of orthopaedic and trauma surgery 2017-10, Vol.137 (10), p.1409-1416
• Main Authors: Xu, Xinxian, Liu, Zhongtang, Wen, Hong, Pan, Xiaoyun
• Format: Article
• Language: English
• Subjects: Arthroscopy - methods; Arthroscopy and Sports Medicine; Child; Follow-Up Studies; Humans; Knee; Medicine; Medicine & Public Health; Orthopedics; Pediatrics; Retrospective Studies; Suture Anchors; Suture Techniques; Tibial Fractures - diagnostic imaging; Tibial Fractures - surgery
• ISSN: 0936-8051; 1434-3916
• DOI: 10.1007/s00402-017-2770-3

Purpose The aim of this study was to follow a group of skeletally immature patients who received arthroscopy-assisted fixation of the displaced tibial eminence fractures with suture anchors and evaluate the clinical results. Methods Twenty-one pediatric patients with displaced tibial eminence fractures were enrolled in this retrospectively study. They received arthroscopy-assisted reduction and fixation using suture anchors. All cases were followed up for 40–47 months with a mean of 43.4 months. Follow-up examinations included radiographic assessment, Lysholm score, Tegner score, International Knee Documentation Committee (IKDC) rating scale and KT-1000 test. Result Twenty patients were available for our final evaluations. They improved significantly at the final follow-up compared with preoperative examinational results with respect to the results of radiographic assessment, Lysholm score, Tegner score, IKDC rating scale and KT-1000 test. Conclusion Arthroscopy-assisted reduction and fixation of the displaced tibial eminence fractures using suture anchors is a simple and reliable technique and is suitable for skeletally immature patients.