title: Arthroscopic treatment of tibial eminence fracture: a systematic review of different fixation methods.
abstract: Arthroscopy procedures are the gold standard for the management of tibial spine avulsion. This review evaluates and compares different arthroscopic treatment options for tibial spine fractures.
  
  
  
  PubMed, Medline, Ovid, Google Scholar and Embase databases were systematically searched with no limit regarding the year of publication.
  
  
  
  An arthroscopic approach compared with arthrotomy reduces complications such as soft-tissue lesions, post-operative pain and length of hospitalization.
  
  
  
  The use of suture techniques, compared to cannulated screw technique, avoids a second surgery for removal of the screws, but requires longer immobilization and partial weight bearing.
  
  
  
  Clinical outcomes and radiographic results do not seem to differ in relation to the chosen method of fixation.
  
  
  
  Further studies are needed to produce clear guidelines to deﬁne the best choice in terms of clinical outcomes, function and complications.
authors.affiliation: Unit of Arthroscopy and Sports Medicine, Hesperia Hospital, Via Arquá', Modena, Italy.
authors.forename: Leonardo
authors.initials: L
authors.lastname: Osti
authors.affiliation: Department of Orthopedic and Traumatology, University of Ferrara, Via Aldo Moro, Italy.
authors.forename: Matteo
authors.initials: M
authors.lastname: Buda
authors.affiliation: Department of Orthopedic and Traumatology, University of Ferrara, Via Aldo Moro, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Soldati
authors.affiliation: Department of Orthopedic and Trauma Surgery, Ospedale Vaio, Fidenza, Italy.
authors.forename: Angelo
authors.initials: A
authors.lastname: Del Buono
authors.affiliation: Department of Orthopedic and Traumatology, University of Ferrara, Via Aldo Moro, Italy.
authors.forename: Raffaella
authors.initials: R
authors.lastname: Osti
authors.affiliation: Department of Trauma and Orthopaedic Surgery, University of Salerno, Italy Centre for Sports and Exercise Medicine Queen Mary University of London Barts and The London School of Medicine and Dentistry , Mile End Hospital London, UK n.maffulli@qmul.ac.uk.
authors.forename: Nicola
authors.initials: N
authors.lastname: Maffulli
mesh_terms: D001182:Arthroscopy / Q000379:methods*; D001863:Bone Screws; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D017102:Fracture Healing; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D010149:Postoperative Pain / Q000517:prevention & control; D011859:Radiography; D015203:Reproducibility of Results; D017695:Soft Tissue Injuries / Q000517:prevention & control; D013536:Suture Techniques; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome; D016474:Weight-Bearing
keywords: arthroscopic treatment; avulsion; fracture; tibial eminence; tibial spine