Arthroscopic Suture Fixation of Tibial Eminence Fracture

Background: Tibial eminence fractures account for up to 5% of knee injuries with an effusion in the pediatric population. Displaced require reduction and operative fixation via arthroscopic or open techniques. Indications: Arthroscopic suture screw are 2 most commonly described techniques tibial fracture treatment. We describe our preferred technique given versatility this decreased risks hardware irritation impingement, need reoperation, minimal risk physeal damage. Technique Description: The uses a standard anteromedial anterolateral portal. After bed hematoma debrided any interposing structures (ie, meniscus) removed from site, nonabsorbable sutures passed through substance anterior cruciate ligament (ACL). Using ACL guide, separate transtibial tunnels drilled bone bridge between—one at aspect base one aspect. One limb each is pulled out tunnels. fragment then reduced, tensioned fixated using knotless anchors. Results: Overall prognosis following favorable more than 80% patients returning prior level activity. Arthrofibrosis may occur 25% patients. Although some residual laxity remain, there high return sport no difference rate subsequent injury surgery compared match cohort reconstructions. Discussion: displaced reliable low reoperation. common; thus, early, controlled range motion critical.