Dkh. Yip et al., Modified arthroscopic suture fixation of displaced tibial eminence fractures using a suture loop transporter, ARTHROSCOPY, 17(1), 2001, pp. 101-106
Current arthroscopic suture fixation techniques of tibial eminence fracture
s are time consuming and the number of anchor sutures that can be placed is
limited by the cumbersome and repetitive numerous needle threading steps.
This occurs at 2 stages: first, when placing anchoring sutures through the
avulsed anterior cruciate ligament stump with a suture punch, and second, w
hen there is a need to traverse the tibial bone canal with the suture ends.
We describe a modification that reduces the reliance on conventional rigid
instruments and instead uses a loop transporter made from readily availabl
e suture material. The suture loop transporter being malleable reduces the
necessary width of the tibial bone canal to be made and has a further advan
tage of minimizing the bone loss during the reaming of the bone tunnel. The
subsequent potential for a stress fracture at these tunnel sires is also s
ubstantially reduced. Our technique is more user friendly, more accurate, a
nd quicker to perform.