Tightrope-suture button fixation for type III tibial eminence fractures – Case series and review of literature

PurposeArthroscopy is the preferred method for anterior cruciate ligament avulsion. Successful fixation methods have been described recently. Here we are introducing a series of 24 patients treated using ACL tightrope and suture disc. This study was performed to evaluate the functional outcome of a consecutive group of patients who underwent reduction and fixation of ACL avulsion fractures fixed with tightrope and suture disc.MethodsAll 24 patients were evaluated using anterior drawer, Lachman test, Tegner activity scale and Lysholm knee scores. The mean age was 29 years (range 17–52). All 24 patients had Meyers and Mckeever type III fracture pattern. The mean follow-up was 41.4 weeks (range 28–57 weeks).ResultsThe results of the anterior drawer, Lachman, and pivot-shift tests were negative. The mean Lysholm score improved to 96.ConclusionsArthroscopic stabilization by use of tightrope was possible in all cases using this fixation method.Level of evidenceLevel IV, therapeutic case series.