Tibial Eminence Fracture Repair With Double Hewson Suture Passer Technique

Displaced tibial eminence fractures are commonly encountered in pediatric patients and are often considered to be functionally equivalent to an anterior cruciate ligament (ACL) rupture. While a variety of techniques are available for fixation of this injury, we describe an anchorless technique relyi...

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Main Authors: Steven F. DeFroda, M.D., M.E., Jonathan D. Hodax, M.D., M.S., Kalpit N. Shah, M.D., Aristides I. Cruz, Jr., M.D., M.B.A.
Format: Article
Language:English
Published: Elsevier 2017-08-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628717301251
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author Steven F. DeFroda, M.D., M.E.
Jonathan D. Hodax, M.D., M.S.
Kalpit N. Shah, M.D.
Aristides I. Cruz, Jr., M.D., M.B.A.
author_facet Steven F. DeFroda, M.D., M.E.
Jonathan D. Hodax, M.D., M.S.
Kalpit N. Shah, M.D.
Aristides I. Cruz, Jr., M.D., M.B.A.
author_sort Steven F. DeFroda, M.D., M.E.
collection DOAJ
description Displaced tibial eminence fractures are commonly encountered in pediatric patients and are often considered to be functionally equivalent to an anterior cruciate ligament (ACL) rupture. While a variety of techniques are available for fixation of this injury, we describe an anchorless technique relying on suture fixation tied over a bone bridge. This technique also relies on two intra-articular Hewson suture passers to quickly and effectively pass and shuttle sutures through the ACL and tibial bone tunnels in order to reduce and fix the fracture fragment. We also briefly review various types of fixation used for tibial eminence fractures.
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spelling doaj.art-c2979afdf2b34b018623fde69035f9052022-12-21T18:59:13ZengElsevierArthroscopy Techniques2212-62872017-08-0164e1275e1279Tibial Eminence Fracture Repair With Double Hewson Suture Passer TechniqueSteven F. DeFroda, M.D., M.E.0Jonathan D. Hodax, M.D., M.S.1Kalpit N. Shah, M.D.2Aristides I. Cruz, Jr., M.D., M.B.A.3Department of Orthopaedics, Alpert Medical School of Brown University, Providence, Rhode Island, U.S.A.; Address correspondence to Steven F. DeFroda, M.D., M.E., Department of Orthopaedics, Alpert Medical School of Brown University, 593 Eddy Street, Providence, RI 02903.Department of Orthopaedics, Alpert Medical School of Brown University, Providence, Rhode Island, U.S.A.Department of Orthopaedics, Alpert Medical School of Brown University, Providence, Rhode Island, U.S.A.Department of Orthopaedics, Division of Pediatric Orthopaedic Surgery, Alpert Medical School of Brown University, Providence, Rhode Island, U.S.A.Displaced tibial eminence fractures are commonly encountered in pediatric patients and are often considered to be functionally equivalent to an anterior cruciate ligament (ACL) rupture. While a variety of techniques are available for fixation of this injury, we describe an anchorless technique relying on suture fixation tied over a bone bridge. This technique also relies on two intra-articular Hewson suture passers to quickly and effectively pass and shuttle sutures through the ACL and tibial bone tunnels in order to reduce and fix the fracture fragment. We also briefly review various types of fixation used for tibial eminence fractures.http://www.sciencedirect.com/science/article/pii/S2212628717301251
spellingShingle Steven F. DeFroda, M.D., M.E.
Jonathan D. Hodax, M.D., M.S.
Kalpit N. Shah, M.D.
Aristides I. Cruz, Jr., M.D., M.B.A.
Tibial Eminence Fracture Repair With Double Hewson Suture Passer Technique
Arthroscopy Techniques
title Tibial Eminence Fracture Repair With Double Hewson Suture Passer Technique
title_full Tibial Eminence Fracture Repair With Double Hewson Suture Passer Technique
title_fullStr Tibial Eminence Fracture Repair With Double Hewson Suture Passer Technique
title_full_unstemmed Tibial Eminence Fracture Repair With Double Hewson Suture Passer Technique
title_short Tibial Eminence Fracture Repair With Double Hewson Suture Passer Technique
title_sort tibial eminence fracture repair with double hewson suture passer technique
url http://www.sciencedirect.com/science/article/pii/S2212628717301251
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