Volume : 7, Issue : 1, January - 2018

Outcome of Isolated Avulsion Fractures Treated with

Dr. Rajat Jangir, Dr. Mohit Kumar, Dr. Ravi Mittal

Abstract :

<p>&nbsp; Backgrounds: Management of Anterior cruciate ligament (ACL) avulsion fractures have been described in literature from closed reduction, to both open and arthroscopically assisted fixation. The Purpose of the study is to evaluate clinical and radiological outcomes of new technique of arthroscopic &ldquo;suture on button&rdquo; fixation in treating tibial eminence fracture. Methods: This is retrospective study includes 10 patients with ACL avulsion fractures between 2012 and 2015. All patient underwent arthroscopic &ldquo;suture on button&rdquo; fixation by the single orthopedic surgeon. The inclusion criteria were a displaced ACL avulsion fracture (Meyer and McKeever Types III and IV), with a minimum follow-up of 18 months. A preoperative MRI was done in all patient to confirm the fracture. Lysholm and IKDC score was used clinical assessment. Results: Clinical assessment none of the patient had complains of Instability. Range of motion measurement showed a mean extension deficit of 2&deg; (0&ndash;3) and a mean flexion deficit of 4&deg; (2&ndash;6) when compared with the unaffected knee. The average Lysholm knee score was 97 (96&ndash;100). Post-operative radiograph in all the patients showed reduction of fracture fragement/s. Radiographic union was achieved in all the patients at 3 months postoperative. Conclusion: The results of the study showed arthroscopic &ldquo;suture on button&rdquo; fixation procedure results in good outcome for treatment of ACL avulsion fractures. &nbsp;</p>