A Surgical Technique for Tibial Tubercle Avulsion Fractures Using Transpatellar Suture Tape Tension Band and De-tensioning Suture Anchors
2024

Surgical Technique for Tibial Tubercle Avulsion Fractures

publication Evidence: moderate

Author Information

Author(s): Bosco Francesco M.D., Ghirri Alessandro M.D., Battaglia Domenico Lewis M.D., Giustra Fortunato M.D., Capella Marcello M.D., Massè Alessandro M.D., Ph.D.

Primary Institution: University of Palermo, Palermo, Italy

Hypothesis

This article aims to present a comprehensive technical note detailing our preferred treatment approach for tibial tuberosity avulsion fractures in the adult and elderly populations.

Conclusion

The described technique offers a valuable contribution to the management of tibial tuberosity avulsion fractures, particularly in patients with low tissue quality and limited bone stock.

Supporting Evidence

  • The technique addresses challenges posed by compromised tissue quality and limited bone stock.
  • Existing literature on tibial tuberosity avulsion fractures is scarce.
  • The method combines de-tensioning suture anchors and tension band suture taping.

Takeaway

This study shows a new way to fix a specific knee injury using strong materials that help the knee heal better, especially for older people with weaker bones.

Methodology

The technique involves using de-tensioning suture anchors and high-resistance suture tape in a figure-of-8 cerclage pattern around the patellar tendon.

Limitations

The study highlights the rarity of tibial tuberosity avulsion fractures and the limited existing literature on their treatment.

Participant Demographics

The technique is particularly aimed at adult and elderly populations.

Digital Object Identifier (DOI)

10.1016/j.eats.2024.103116

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