2025 ISAKOS Biennial Congress ePoster
Arthroscopic All Inside Anterior Row Fixation For Anterior Cruciate Ligament Tibial Avulsion Fracture.
Mukesh Subhashchandra Laddha, DNB(Ortho),D.Ortho, Nagpur, Maharashtra INDIA
Lakshya Bhardwaj, Diploma in Orthopaedics, DNB Orthopaedics INDIA
Ankit Gopikishan Lohiya, Diploma Ortho, DNB Ortho, jalna, Maharashtra INDIA
Abhilash Sangtani, MS Ortho, nagpur, maharashtra INDIA
RNH HOSPITAL, NAGPUR, MAHARASHTRA, INDIA
FDA Status Not Applicable
Summary
Arthroscopic All Inside Anterior Row Fixation for ACL Avulsion is Physeal Sparing, Simple, Effective, Reproducible, Economic with Complete Radiological Healing and Excellent Functional Outcome
ePosters will be available shortly before Congress
Abstract
Background
The anterior cruciate ligament (ACL) is important for knee joint stability. Avulsion fracture of the tibial insertion of the ACL is common in paediatric population also seen in adults. However, no gold standard physeal sparing approach for treating ACL avulsion fractures exists.
Objective
The aim of this study is to present and evaluate a new arthroscopic technique using all inside anterior row suture anchor fixation for anterior cruciate ligament (ACL) tibial avulsion fracture.
Methods
Fourteen patients (9 male and 5 female) with a mean age of 23 years varying from 12 to 37 years with a diagnosed ACL tibial avulsion fracture underwent arthroscopic anterior row suture fixation. Out of all patients of ACL tibial avulsion fractures six were Meyers and McKeever’s type II and eight were type III and were treated using all inside anterior row suture anchor fixation. The patients were followed up and evaluated radiographically and clinically according to range of motion at knee, laxity via Lachman test/ anterior drawer testing, Lysholm scores, International Knee Documentation Committee (IKDC) subjective scores.
Results
All patients were followed up for 6 months. All the fracture were united within 12 weeks. All patients were negative for the Lachman test and the anterior drawer test at final follow up. All Patients got full range of motion of knee at 3 months follow up 133.58°± 3.63° (P<0.05). And at 6 months all patients were at pre injury activity level with mean Lysholm score improved to 97.07±2.23(P < 0.05) and mean IKDC subjective score to 84.79±1.62 (P < 0.05).
Conclusion
Arthroscopic all inside anterior row suture anchor fixation for anterior cruciate ligament (ACL) tibial avulsion fracture spares the physes and is simple, effective, reproducible, economic with complete radiological healing and excellent functional outcome avoiding iatrogenic injuries to the meniscus, cartilage, and ACL fibres.
KEYWORDS: Anterior cruciate ligament tibial avulsion fracture; arthroscopy; nonabsorbable suture; all inside technique; anterior drawer test; Lysholm score.