%0 Journal Article
%T One strategy for arthroscopic suture fixation of tibial intercondylar eminence fractures using the Meniscal Viper Repair System
%A Satoshi Ochiai
%A Tetsuo Hagino
%A Yoshiyuki Watanabe
%A Shinya Senga
%A Hirotaka Haro
%J Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology
%D 2011
%I BioMed Central
%R 10.1186/1758-2555-3-17
%X We studied 5 patients, who underwent arthroscopic suture fixation that we modified. The present technique utilized the Meniscal Viper Repair System for arthroscopic suture of the meniscus. With one handling, a high-strength ultra-high molecular weight polyethylene(UHMWPE) suture can be passed through the anterior cruciate ligament (ACL) and the loops for suture retrieval placed at both sides of ACL. Surgical results were evaluated by the presence or absence of bone union on plain radiographs, postoperative range of motion of the knee joint, the side-to-side differences measured by Telos SE, and Lysholm scores.The reduced position achieved after surgery was maintained and good function was obtained in all cases. The mean distance of tibia anterior displacement and assessment by Lysholm score showed good surgical results.This method simplified the conventional arthroscopic suture fixation and increased its precision, and was applicable to Type II fractures that could be reduced, as well as surgically indicated Types III and IV. The present series suggested that our surgical approach was a useful surgical intervention for tibial intercondylar eminence fracture.Tibial intercondylar eminence fracture is an intra-articular avulsion fracture of the anterior cruciate ligament (ACL) insertion, which was first reported by Poncet in 1875 [1]. Because of its unique morphology of injury, the fracture is also considered to be a subtype of ACL injury [2]. If the displacement of the fractured fragment is left uncorrected, complications such as limitation of knee extension, nonunion, and malunion may occur [3,4]. Besides, laxity of ACL may lead to ACL failure symptoms such as anterior instability of the knee [5]. Therefore, in treating this fracture, early reduction and stable fixation are important. We designed a simple, low-invasive, surgical method for tibial intercondylar eminence fracture by (1) improving the pull-out fixation technique, which was one of the representative meth
%U http://www.smarttjournal.com/content/3/1/17