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Midterm outcomes of arthroscopic reduction and internal fixation of anterior cruciate ligament tibial eminence avulsion fractures with K-wire fixation

Arthroscopy Apr 16, 2019

Leie M, et al. - In this retrospective study, researchers evaluated 48 participants to ascertain the clinical and radiological consequences of subjects who underwent arthroscopic reduction and internal fixation of a tibial eminence avulsion fracture with Kirshner wires (K-wires) at a mean of 8 years after surgery. They reported that 82% of participants had no indication of chondral wear on the medial compartment on MRI scan assessment for osteoarthritic changes at final follow-up whereas 73% had no differences in the lateral compartment according to Magnetic Resonance Image Osteoarthritis Knee Score classification. Seven cases with a high signal at the fracture site were found on MRI scan qualitative assessment of anterior cruciate ligament (ACL) and tibial eminence. They also noted the mean medial tibial eminence height of 9.2 mm (range, 6.3 mm to 1.31 cm) whereas the lateral tibial eminence height was an average of 6.7 mm (range, 0.38-0.97 mm).
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