Arthroscopic fixation of anterior cruciate ligament tibial avulsion fractures using bioabsorbable suture anchors |
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Authors: | Yong In Jung-Man Kim Young-Kyun Woo Nam-Yong Choi Chan-Woong Moon Min-Woo Kim |
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Affiliation: | (1) Department of Orthopaedic Surgery, College of Medicine, The Catholic University of Korea, Seoul, South Korea;(2) Department of Orthopaedic Surgery, Uijongbu St. Mary’s Hospital, The Catholic University of Korea, 65-1 Kumoh-Dong, Kyonggi-Do, 480-130 Uijongbu-Si, South Korea |
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Abstract: | This article describes a new technique for the arthroscopic reduction and fixation of anterior cruciate ligament (ACL) tibial avulsion fractures using bioabsorbable suture anchors. This described technique requires the use of anterolateral, anteromedial, medial mid-patellar, and lateral mid-patellar portals. A suture hook loaded with No. 2 polydioxanone (PDS) was used to pierce the ACL through the anteromedial or anterolateral portal, and bioabsorbable suture anchors were inserted through the medial and lateral mid-patellar portals. The five patients treated using this technique were evaluated at 1 year postoperatively. All patients showed bony union without anterior laxity or flexion contracture. The described technique provides firm fixation of fracture fragment and can be used in both skeletally immature and mature patients. |
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Keywords: | Arthroscopy Knee Anterior cruciate ligament Tibial avulsion fracture Suture anchor technique |
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