title: Arthroscopic fixation of anterior cruciate ligament tibial avulsion fractures using bioabsorbable suture anchors.
abstract: This article describes a new technique for the arthroscopic reduction and fixation of anterior cruciate ligament (ACL) tibial avulsion fractures using bioabsorbable suture anchors. This described technique requires the use of anterolateral, anteromedial, medial mid-patellar, and lateral mid-patellar portals. A suture hook loaded with No. 2 polydioxanone (PDS) was used to pierce the ACL through the anteromedial or anterolateral portal, and bioabsorbable suture anchors were inserted through the medial and lateral mid-patellar portals. The five patients treated using this technique were evaluated at 1 year postoperatively. All patients showed bony union without anterior laxity or flexion contracture. The described technique provides firm fixation of fracture fragment and can be used in both skeletally immature and mature patients.
authors.affiliation: Department of Orthopaedic Surgery, College of Medicine, The Catholic University of Korea, Seoul, South Korea. iy1000@catholic.ac.kr
authors.forename: Yong
authors.initials: Y
authors.lastname: In
authors.forename: Jung-Man
authors.initials: JM
authors.lastname: Kim
authors.forename: Young-Kyun
authors.initials: YK
authors.lastname: Woo
authors.forename: Nam-Yong
authors.initials: NY
authors.lastname: Choi
authors.forename: Chan-Woong
authors.initials: CW
authors.lastname: Moon
authors.forename: Min-Woo
authors.initials: MW
authors.lastname: Kim
mesh_terms: D020341:Absorbable Implants; D000328:Adult; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D001182:Arthroscopy / Q000379:methods*; D002648:Child; D015331:Cohort Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000295:instrumentation* / Q000379:methods; D053441:Suture Anchors