Abstract: Purpose: Most tibial eminence fractures are avulsion fractures of the anterior cruciate ligament (ACL) from its tibial insertion. The most common fixation techniques for tibial avulsion fractures of the anterior cruciate ligament (ACL) described in the literature are screw and suture fixation. The fixation of these fractures with the Tightrope® device might be an alternative. The aim of our study is to assess the clinical and radiological results of arthroscopic fixation using fibre wire with Endobutton in the management of ACL avulsion fractures using a simpler technique.
Materials and Methods: This is a Retrospective observational case study of Eleven patients (10 males and 1 female) who underwent arthroscopic fixation with standard anteromedial and anterolateral ports using fibre wire with Endobutton for displaced ACL avulsion fractures (Meyers and McKeever’s classification grade 2, grade 3 and grade 4). 8 patients were skeletally mature and 3 had open physes. The average age was 21 years with a mean follow up of 1 year. All patients were assessed clinically by calculating their Lysholm scores, Lachman test and the radiological union was assessed in the follow up radiographs.
Results: The mean Lysholm score was 95.636. In all the eleven patients, Lachman test was negative at the end of final follow up and all the patients were able to return to their preinjury activity level.
Conclusion: Arthroscopic fixation using this technique of using fibre wire with Endobutton is a safe and reliable technique for producing good clinicoradiological outcome in displaced ACL avulsion fractures.
