A Study of Functional Outcome of Pull-through Suture Technique in Avulsion Fracture of Anterior Tibial Spine

Abstract

Introduction: The study has been conducted to evaluate the functional outcome of acute tibial eminence fractures treated arthroscopically with a pull-through suture technique. MATERIALS AND METHODS: This prospective study was conducted between December 2020 and September 2022 on patients with Meyers and Mckeever II and III anterior tibial spine fractures treated arthroscopically using a pull-through suture technique. Results: Of the 20 patients included in the study, the majority of the patients, i.e., 40%, ranged in age from 20 to 30 years and 90% were male patients. The most common cause of injury was road traffic accidents among 60% of cases, followed by falls from bicycles or stairs and rest owing to sports injuries. In the current study, majority of the patients, i.e., 65%, operated were of Meyers and Mckeever type 3 injury. There was substantial improvement between the mean preoperative Lysholm score of 51.05 and the mean postoperative Lysholm score of 92.10 after 9 months with 95% of patients having good-to-excellent result in the end. Conclusion: Using an arthroscopic pull-through suture approach to treat acute tibial eminence fractures results in good rigid fixation and improves the functional outcome.

Keywords

• anterior cruciate ligament avulsion fracture
• arthroscopy
• pull-through suture technique